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Prime Healthcare Services

Insurance Verification Specialist

Company : Prime Healthcare Services

Location : Flower Mound, TX, 75028

Job Type : Full Time

Date Posted : 7 January 2026

Overview

We are seeking an Insurance Verification Specialist, sometimes referred to as a Clinic Insurance Verifier and Financial Counselor at Dallas Regional Medical Center Ourpatient Clinic in Flower Mound. The Insurance Verification Specialist or Insurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits, determines financial responsibility, and communicates this to patients before procedures. The Clinic Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance Verifiers collaborate with Case Management to secure necessary authorizations and maintain clear communication throughout the process.  

Shift’s Available:  Days  

Employment Type: Full-Time 

Hours: 8-hour – 8:00 a.m. to 5:00 p.m. M-Th; 8:00 a.m.-1:00 p.m. on Friday

Location: Mesquite, TX

Here are some of the benefits of working at Prime Healthcare: 

  • Health, dental, and vision insurance options 
  • Paid vacation, sick time and holidays 
  • Bereavement leave, FMLA and other leave options 
  • Employer 401K options 
  • Tuition reimbursement options  
  • Life, disability, and other insurance options 
  • Many other amazing benefits 

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to): 

  • Verify patients’ insurance coverage and benefits thoroughly prior to clinic admission or scheduled procedures to ensure accurate billing and eligibility 
  • Assess and determine patient financial responsibility based on insurance details and communicate this information clearly to both patients and hospital staff 
  • Coordinate the pre-authorization and insurance approval process to ensure all necessary approvals are secured before services are provided 
  • Maintain and update accurate patient insurance and demographic information within the hospital’s electronic health record system to support smooth admissions and billing 
  • Guide and assist patients in accessing available financial assistance programs, answering billing questions, and resolving insurance-related concerns to ease their clinic experience 

#LI-MK3

Qualifications

EDUCATION, EXPERIENCE, TRAINING  1. Knowledge of standard insurance companies and verification requirements. 2. Well versed in authorization processes for all payers 3. Ability to multi-task, prioritize needs to meet required timelines 4. Analytical and problem-solving skills 5. Customer Services experience required 6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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Frequently asked questions

While some entry-level insurance verification jobs may be available, Prime Healthcare Services prefers candidates familiar with authorization processes across various payers to ensure accurate pre-approvals and smooth patient admissions.

You’ll need to interpret insurance coverage details and articulate patient out-of-pocket costs clearly, helping patients understand deductibles, co-pays, and any uncovered services to minimize billing surprises.

Demand for insurance verifiers in Flower Mound and nearby Mesquite remains steady due to ongoing healthcare facility growth, but candidates with strong authorization knowledge and customer service skills have a distinct advantage.

Insurance Verification Specialists in Flower Mound generally earn between $38,000 and $48,000 annually, depending on experience, with Prime Healthcare Services offering competitive compensation aligned with local healthcare industry standards.

At Prime Healthcare Services, expect a collaborative environment focused on patient financial counseling, with comprehensive benefits including tuition reimbursement and multiple insurance options enhancing your overall employment package.

Yes, Prime Healthcare Services invests in ongoing education and provides resources to keep their insurance verification specialists up to date on payer requirements and authorization protocols essential for accurate claims processing.

Outpatient clinics often require quicker turnaround on insurance verifications and more direct patient communication regarding financial responsibilities, demanding strong multitasking and prioritization skills in this role.

Certifications such as Certified Coding Associate (CCA) or credentials in medical billing and coding can boost your profile, while familiarity with local insurance providers and state regulations is highly valued.

This role requires close collaboration with case managers to ensure necessary insurance authorizations are secured timely, streamlining patient care and preventing delays in scheduled procedures.

Currently, this full-time position is based on-site at their Mesquite location near Flower Mound, reflecting the hands-on nature of insurance verification and patient interaction required during daytime business hours.

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