Insurance Verification Rep
3 weeks ago
**Overview**
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
**Responsibilities**
Under general supervision, Insurance Verification Representative is responsible for verifying patient’s insurance information and obtains authorization prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. Responsible for interpreting coverage limitations, patient versus insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions. Work closely with physicians, patients, and other healthcare staffs to ensure authorizations cover the services needed and that correct information is obtained.
1. Ensure insurance coverage by telephone.
2. Resolve any issues with coverage and escalates complicated issues to manager.
3. Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
4. Coordinate with clinical staff to obtain charge information for all patients.
5. Code procedures performed and diagnosis on charge.
6. Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
7. Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
8. Identify physician services provided, but not accurately documented in the medical record.
9. Resolve routine patient billing inquiries and problems.
10. Perform other duties as assigned.
**Qualifications**
**_
Required Education and Experience_**
- Bachelor degree in related field preferred.
- 2 - 4 years healthcare experience preferred.
**_
Required Minimum Knowledge, Skills, Abilities _**_and Training_**
- Thorough understanding of insurance payor reimbursement,
collection practices, and accounts receivable follow-up required.
- Understanding of insurance payor reimbursement and collection practices.
- Knowledge of insurance industry and basic medical terminology/abbreviations preferred.
- Understands health insurance and medical costs, including coding.
- Requires good customer skills.
- Good communication skills.
- Proficient computer skills.
- Possess a strong work ethic and a high level of professionalism.
**Pay Range**
$13.22 - $18.17 /hour
-
Insurance Verifer/ Scheduler
3 days ago
The Woodlands, United States The Woodlands Specialty Hospital Full timeJob DescriptionJob Description JOB TITLE: Insurance Verifier EMPLOYER: Everiz Management LLC DUTIES AND RESPONSIBILITIES:Verifying Medical Insurance benefits through payer websites and/or by phone with NPI and TAX IDExperienced in initiating and following up on Pre-certificationUnderstands how to read doctor’s OrdersFamiliar and understand...
-
Insurance Verifer/ Scheduler
5 days ago
The Woodlands, United States The Woodlands Specialty Hospital Full timeJOB TITLE: Insurance Verifier EMPLOYER: Everiz Management LLC DUTIES AND RESPONSIBILITIES:Verifying Medical Insurance benefits through payer websites and/or by phone with NPI and TAX IDExperienced in initiating and following up on Pre-certificationUnderstands how to read doctor’s OrdersFamiliar and understand Traditional Medicare Part A & B,...
-
Medical Assistant
1 month ago
The Woodlands, United States NHRA Full timeOur Rheumatology office is looking a full time positive, enthusiastic medical assistant to join our growing team! Someone who can multitask, has good computer skills, can speak Spanish ( preferable), has a positive work attitude and is a great team player. **Must be willing to commute to our Kingwood, Woodlands and Tomball office.** DUTIES: will include...
-
Sr. Manager, Large Load Power Services
4 days ago
The Woodlands, United States Lancium Full timeAbout UsLancium is dedicated to accelerating the energy transition. We create technologies and build infrastructure that balance and stabilize the power grid and catalyze increased renewables generation, while also delivering 100% green energy at the lowest costs to consumers in energy-intensive industries. While AI and HPC data center workloads, and...
-
The Woodlands, United States Memorial Hermann Health System Full timeAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...
-
The Colony, United States Cinter Career Full timeWe are seeking a Vehicle System Software Verification Test Lear. Location: The Colony, Texas (Onsite) Contract type: Full-time (40hours/week) Salary: DOE Benefits: Health, Dental, Vision, 401K, FSA Responsible for overseeing, participating in, and performing but not limited to the following tasks: Testing and assuring the quality of all features developed...
-
The Colony, United States Cinter Career Full timeJob DescriptionJob DescriptionWe are seeking a Vehicle System Software Verification Test Lear. Location: The Colony, Texas (Onsite)Contract type: Full-time (40hours/week)Salary: DOEBenefits: Health, Dental, Vision, 401K, FSAResponsible for overseeing, participating in, and performing but not limited to the following tasks:Testing and assuring the quality...
-
Medical Front Office Coordinator
7 days ago
The Woodlands, United States Renrmn Enterprises LLC Full time**Benefits**: - Dental insurance - Employee discounts - Health insurance - Opportunity for advancement Location: The Woodlands, Texas **Front Office**:The Front Office Coordinator oversees the administrative duties of the facility. They are responsible for moving the patients through the intake and checkout process. Front Office Coordinators must ensure...
-
Rehabilitation Technician
4 days ago
The Woodlands, United States Sterling Ridge Orthopaedics & Sports Medicine Full timeJob Type Full-timeDescriptionWe are looking for a full-time Rehabilitation Technician to join our team of top notch professionals in our Rehab department!Wage: $13.00-$15.00 per hour This position is 40 hours a week and would need to be flexible. We are open Monday to Friday 7:00 AM to 7:00 PM and Saturdays from 8:00 AM to 1:00 PM. This position would be...
-
Medical Office Receptionist
1 month ago
The Woodlands, United States Beltone G4 Full timeWe are customer-centric, supportive and rewarding. Our work environment includes: - On-the-job training - Growth opportunities $13.00- $17.00/Hour plus Monthly Bonus Opportunities! Monday-Friday, 9:00 AM-5:00 PM (No nights or weekends!) Primary Function The Patient Care Coordinator, or PCCs, primary responsibility is to professionally manage the...
-
Rehabilitation Technician
3 days ago
The Woodlands, United States Sterling Ridge Orthopaedics and Sports Medicine Full timeJob DescriptionJob DescriptionDescription:We are looking for a full-time Rehabilitation Technician to join our team of top notch professionals in our Rehab department!Wage: $13.00-$15.00 per hourThis position is 40 hours a week and would need to be flexible. We are open Monday to Friday 7:00 AM to 7:00 PM and Saturdays from 8:00 AM to 1:00 PM.This position...
-
Surgery Scheduler
1 week ago
The Woodlands, United States Sterling Ridge Orthopaedics and Sports Medicine Full timeDescription: We are looking for a **full-time Surgery Scheduler** to join our top notch team of professionals! **Locations**: - Spring, TX - The Woodlands, TX - Montgomery, TX This position may travel with the doctor to each location as needed. Hours: Monday-Friday 8:00 AM to 5:00 PM **JOB SUMMARY**: The surgery scheduler is responsible for scheduling...
-
Senior Scheduler
4 days ago
The Woodlands, United States Houston Methodist Full timeAt Houston Methodist, the Senior Scheduler position is responsible for providing consumers access to care and treatment through appointment-based availability of healthcare services at a designated facility. This position schedules patients for complex services (e.g., surgery, special procedures) on a routine basis and ensures quality patient surgical and/or...
-
Builder Sales Rep
5 days ago
The Colony, United States Nebraska Furniture Mart Full timeAt Nebraska Furniture Mart (NFM), we've been hiring friends since 1937-people who share our passion for helping customers feel right at home. If you share our vision, we invite you to be one of us! People love working here! Named one of Furniture Today's Best places to work, and here a few reasons why: A FUN, stable work environment, with no layoffs in our...
-
Builder Sales Rep
5 days ago
The Colony, United States NFM Full timeAt Nebraska Furniture Mart (NFM), we've been hiring friends since 1937—people who share our passion for helping customers feel right at home. If you share our vision, we invite you to be one of us! People love working here! Named one of Furniture Today's Best places to work, and here a few reasons why: A FUN, stable work environment, with no layoffs in...
-
Senior Scheduler
4 weeks ago
The Woodlands, United States Houston Methodist Full timeAt Houston Methodist, the Senior Scheduler position is responsible for providing consumers access to care and treatment through appointment-based availability of healthcare services at a designated facility. This position schedules patients for complex services (e.g., surgery, special procedures) on a routine basis and ensures quality patient surgical and/or...
-
The Woodlands, United States Houston Methodist Primary Care Group Full timeAt Houston Methodist, the Multi-Site Senior Medical Assistant, (Multi-Site Sr. MA) position is responsible for working at multiple sites, within multiple specialties and service lines. The Multi-Site Sr. MA is responsible for providing high quality support of patient care and services, while functioning as an expert and demonstrating highly competent...
-
Marketing Medical Services Rep
3 days ago
The Villages, United States VNA of Florida Full timeJob DescriptionJob DescriptionThe Visiting Nurse Association of Florida (VNA) is a 45-year-old home health agency that is growing and looking to hire multiple Medical Services Rep (MSR) Looking for an MSR with a book of business of referral sources for the Villages area of Marion/Sumter Counties.Why join our VNA family?Flexible Scheduling- We know how...
-
Environmental Services Representative
4 days ago
The Dalles, United States Mid-Columbia Medical Center Full timeOverview We are seeking a EVS Rep to join our EVS team. This position is Part Time Core, scheduled 24 hours per week and is eligible for a comprehensive benefits package. We're looking for compassionate, enthusiastic, and dependable candidates that are team players with a positive attitude. Perks of working with us: amazing work-life balance with flexible...
-
Front Desk Medical Receptionist
2 weeks ago
The Villages, United States Lake Centre for Rehab Full timeOverview: Lake Centre for Rehab, a member of the Confluent Health family, is looking for a Full Time Front Desk Medical Receptionist to join our team! At Lake Centre for Rehabyoull find an amazing culture because we want our employees to love coming to work and do what they love- helping our patients get back to their everyday lives. We provide you with a...