Insurance Benefits Specialist

Job Title: Insurance Benefits & Estimates Specialist

Location: DrSnip – The Vasectomy Clinic (Remote/On-site, depending on location)
Reports To: Practice Manager / Billing Manager
Employment Type: Full-Time

About DrSnip

DrSnip is a leading vasectomy clinic dedicated to providing simple, comfortable, and professional vasectomy care. Our mission is to make the process straightforward and stress-free for our patients—from consultation to recovery. We believe in clear communication, compassionate service, and accurate information every step of the way.

Position Summary

The Insurance Benefits & Estimates Specialist plays a critical role in ensuring patients have a clear understanding of their insurance coverage and expected costs before their vasectomy procedure. This position combines analytical precision, customer service excellence, and in-depth insurance knowledge to deliver accurate benefit estimates, verify coverage, obtain pre-authorizations, and help maximize insurance reimbursement for both the clinic and the patient.

Key Responsibilities

• Estimate Patient Financial Responsibility:
  Review patient insurance benefits and calculate estimated out-of-pocket costs (deductibles, copayments, and coinsurance) for vasectomy and related services.
   
• Verify Insurance Coverage:
  Contact insurance carriers to confirm eligibility, coverage details, and pre-authorization requirements for upcoming procedures.
   
• Obtain Pre-Authorizations:
  Facilitate the prior authorization process by submitting necessary clinical and coding documentation (CPT and ICD-10 codes) to ensure timely insurance approval.
   
• Communicate with Patients:
  Clearly explain insurance coverage and cost estimates, answer questions, and help patients understand their financial responsibility in a professional and empathetic manner.
   
• Resolve Claims and Billing Issues:
  Collaborate with the billing department and insurance carriers to address claim denials, underpayments, or discrepancies, ensuring accurate and timely resolution.
   
• Maintain Accurate Documentation:
  Enter and update insurance and benefit information in the clinic’s electronic health record (EHR) and billing systems with precision and confidentiality.
   
• Ensure Compliance:
  Adhere to HIPAA and all applicable federal and state regulations in handling patient information and insurance data.  

• Track and follow up on unresolved billing issues, assist with resolution of claims appeals and reconsiderations.

• Contribute to Continuous Improvement:
  Identify trends in coverage, denials, and patient concerns to recommend process improvements and enhance patient satisfaction.
   

Qualifications

• Education:
  High School Diploma required. Some college preferred. Equivalent experience in a medical billing or insurance verification role may be considered.
   
• Experience:
   
  • Minimum of 1 year in medical insurance verification, benefits coordination, or healthcare billing.
  • General proficiency in medical terminology
     
  • Experience in a specialty clinic setting (urology, reproductive health, or outpatient surgical services) is a plus.
     
• Technical Skills:
   
  • Proficient in navigation of various insurance portals, EHR platforms, and Microsoft Excel.
     
  • Familiarity with CPT and ICD-10 coding, coordination of benefits, and payer-specific policies.
     
  • Strong understanding of HIPAA, ACA, and general medical billing best practices.
     
• Core Competencies:
   
  • Exceptional communication and customer service skills.
     
  • High attention to detail and accuracy.
     
  • Strong foundational math skills, analytical, and problem-solving ability.
     
  • Ability to work independently while contributing to a collaborative team environment.
     

Why Join DrSnip?

• Patient-focused, mission-driven team culture.
   
• Opportunities for professional growth in a respected, specialized clinic.
   
• Supportive environment that values accuracy, empathy, and transparency

Compensation & Benefits

• Base Pay $27.00 per hour commensurate with experience
• Generous PTO policy
• Retirement Match
• Comprehensive Healthcare Coverage