Verification Specialist

Benefits

We Offer Outstanding Benefits:

• Paid Time Off & Paid Company Holidays
• Medical, Dental, Vision & Life Insurance
• Flexible Spending Account (FSA)
• 403(b) Retirement Plan with Company Match
• Short-Term & Long-Term Disability
• $0 Copay for Legacy Provider visits
• $0 Copay for prescriptions filled at Legacy Pharmacies
• Travel Insurance & Pet Insurance
• Subsidized Gym Membership
• And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Join Legacy Community Health as a Verification Specialist in Houston, TX

At Legacy Community Health, we are dedicated to transforming community healthcare through innovation and compassion. We are seeking a dynamic Verification Specialist to join our forward-thinking team in a role that is pivotal to the seamless operation of our healthcare ecosystem. This hybrid position combines both remote and in-office work, offering the flexibility needed to thrive in today's world while maintaining a strong connection with our healthcare community. In this role, you will be the cornerstone for ensuring accurate and efficient patient eligibility verification and insurance pre-authorization, making a tangible impact on the lives of our patients.

Your commitment to detail and ability to multitask will be crucial as you navigate the intricacies of insurance and medical terminology. At Legacy, you'll work collaboratively within a supportive environment that values continuous learning and growth, offering opportunities for career development including loan repayment programs. Embrace the chance to work with passionate professionals dedicated to enhancing the health and well-being of our community.

Key Responsibilities

• Utilize real-time work lists to efficiently manage and prioritize workload for patient insurance verification and authorization prior to scheduled exam dates.
• Coordinate with Emdeon for seamless electronic verifications and establish thorough verification records for auditing purposes.
• Daily verification of patient insurance eligibility and determination of individual plan benefits for scheduled exams and BH testing.
• Acquire necessary clinical history from referring physicians to secure required authorizations.
• Adhere to Documentation Guidelines for recording benefits and authorization statuses in the patient's medical record in Centricity.
• Communicate effectively with patients and referring physicians regarding non-covered benefits or exam coverage issues, ensuring compliance with HIPAA Guidelines.
• Offer support and expertise to Clinic Staff, Scheduling Staff, and other departments on Authorization and Eligibility matters.
• Stay informed of updates in Payor authorization requirements and communicate changes to appropriate staff and departments.
• Participate in Billing, Eligibility, and front desk meetings to ensure synergy and efficiency across departments.
• Attend up-training courses as scheduled and communicate relevant updates to the team.
• Serve as a backup to the Billing Specialist when necessary and perform other duties as assigned.

Qualifications and Skills

• High School Diploma or equivalent required.
• Basic knowledge of insurance carrier guidelines is essential.
• Strong detail-oriented skills with the proven ability to multitask in a fast-paced environment.
• Proficiency in insurance and medical terminology.
• Experience establishing effective working relationships with Payors, patients, physicians, and clinic staff.

About Legacy Community Health

With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way.

At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact.

Explore our open positions and see if a career at Legacy is right for you.

Core Employee Expectations

At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.

Apply today in less than 3 minutes using your phone, tablet, or computer!