Insurance Verifier Inpatient

2 weeks ago


Houston, United States Advanced Diagnostics Healthcare System Full time

**OVERVIEW**

Advanced Diagnostics Healthcare System is an independent, physician-led and patient-centered organization of hospitals, clinics and diagnostic centers in Texas. We are entirely focused on bringing you advanced, comprehensive care and superior patient experience. As we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a collaborative manner.

**JOB SUMMARY**

The Incumbent will be responsible for obtaining insurance benefits, verification of eligibility status, and assisting with authorizations over the phone and online; collecting accurate demographics, accurate data entry; scheduling appointments over the phone; scanning electronic records, and performing any other duties necessary to provide efficient, timely services to the patients, their families and providers.

**DUTIES AND RESPONSIBILITIES**
- 1+ year medical experience or medical insurance verification and pre-certification.
- Familiarity with online insurance verification of deductibles and co-insurance calculations
- Creates and builds patient accounts, places the initial evaluation appointments on the schedule, attaches appropriate documents in TS and updates the referral log.
- Adds Referring Physicians in EMR and updates patient accounts with physician information as directed.
- Completes primary and secondary insurance and verifications (PIVs), enters all insurance information 2-3 days prior to the initial evaluation and ensures that account types match insurance types and attaches verified PIV upon completion.
- Determines patient co-payments and calculates co-insurance and deductibles.
- Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient Electronic Medical Record (EMR).
- Assist front office with verification questions or concerns.
- Obtains authorizations for procedures that require approval, as well as following up on pending authorizations.
- Communicates insurance coverage with the patient and the staff.
- Resolves any coverage issues and update patient Electronic Medical Record (EMR).
- Investigates and verifies insurance coverage and eligibility for scheduled services.
- Financial clear office visits that may involve minor procedures for specialist services.
- Contacts external PCP offices to initiate and secure insurance PCP referral approvals for specialists.

**REQUIREMENTS**
- High school diploma or GED.
- Some College, Associate’s Degree or higher preferred.
- Medical office and insurance: 2 years (required)
- Insurance authorization: 3 years of relevant experience in a Clinic or an Acute Care setting. (preferred)
- Strong understanding of insurance billing and the surgical preauthorization.
- Familiarity with medical terminology, insurance verification, and managed care processes.
- Multi-Specialty insurance verification experience.
- EMR experience EPIC, Cerna, or similar

**EDUCATION**
- High school diploma or GED.
- Some College, Associate’s Degree or higher preferred.

**CERTIFICATION, LICENSURE**
- ** N/A**

**KNOWLEDGE SKILLS & ABILITIES**
- Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
- Ability to stay focused in a fast-paced environment, manage time efficiently, and able to multitask.


  • Insurance Verifier

    4 weeks ago


    Houston, United States Northwest Surgery Center (11204) Full time

    **Job Summary**: The Insurance Verifier is responsible for validating and entering patient information and insurance coverage into the appropriate computer system. Duties may also include communicating with physician offices, insurance carriers, and patient follow-ups. LI-CM1 USP-123 **Required Skills**: - High school diploma or equivalent required. -...


  • Houston, United States BHS Physicians Network Houston Full time

    **Summary** Responsible for verifying insurance for all inpatient and scheduled outpatient admissions. Contacts patients to advise of their portion due for co-payments and deductibles upon registration. May take credit card payments and issue receipts. Documents all insurance verification information in MS4 and notates patient account with benefit rates in...


  • Houston, United States The Emerald Insurance Agency Full time

    Join The Emerald Insurance Agency, a fast-growing insurance company located in the vibrant city of Houston, Texas. Our dynamic team combines the best of both worlds, offering a hybrid remote work environment alongside the energy of our physical office space. We value teamwork, innovation, and a deep commitment to delivering top-notch service to our...


  • Houston, United States The Emerald Insurance Agency Full time

    Job DescriptionJob DescriptionJoin The Emerald Insurance Agency, a fast-growing insurance company located in the vibrant city of Houston, Texas. Our dynamic team combines the best of both worlds, offering a hybrid remote work environment alongside the energy of our physical office space. We value teamwork, innovation, and a deep commitment to delivering...


  • Houston, United States Brookhollow OB GYN Clinic Full time

    We are seeking a highly motivated individual who enjoys assisting patients and team members with administrative medical tasks. As an Insurance Verification Specialist, you will be the first point of contact for our patients, managing all aspects of their visits. Your responsibilities will include registering patients, verifying insurance and benefits,...


  • Houston, United States Houston Cancer Treatment Centers Full time

    **Insurance Specialist**: - Collects and reviews clinical information for completeness and transfers to appropriate clinical reviewer for determination. - Gets authorized referrals within authority guidelines and department standards for outpatient, inpatient and ancillary services. - Gets prior authorizations/Insurance eligibility for chemo and Iron...


  • Houston, United States Premier Medical Resources Full time

    Job DescriptionJob DescriptionPremier Medical Resources is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional...


  • Houston, United States Houston Cardiovascular Associates Full time

    Busy cardiology office seeks experienced Insurance Verification Specialist to verify patients' insurance eligibility and benefits prior to scheduled appointment date. Must have knowledge of healthcare insurance and have at least one year experience. High school graduate. Offering Good Salary and Benefits Package. Pay: $17.00 - $19.00 per...


  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionInsurance Verification SpecialistZip Code: Houston, TX 77090 | Location: Cypress Station AreaEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Podiatry | Salary: $18 - $21 an hourTeam1Medical is teaming up with an accredited podiatry clinic to seek an Insurance Verification Specialist who will be...


  • Houston, United States United Surgical Partners Full time

    Part-Time: Insurance Verification Clerk No Weekends, No Call, No Holidays Overview: Bon Secours Surgery Center at Harbour View is seeking a Part-time Insurance Verification Clerk. We are a busy multispecialty surgery center serving Northern Suffolk and an affiliate of United Surgical Partners International (USPI). USPI’s mission is to care for each patient...


  • Houston, United States Team1Medical Full time

    Job DescriptionJob DescriptionInsurance Verification SpecialistZip Code: Houston, TX 77040 | Location: Northwest HoustonEmployment Type: Temp-to-hire | Workplace Type: On-siteHealthcare Specialty: Billing Services | Salary: $17 - $19 an hourTeam1Medical is seeking an Insurance Verification Specialist to ensure patient healthcare benefits cover required...


  • Houston, United States Frontline Source Group Full time

    Our rapidly growing Houston law firm is seeking an Insurance Defense Paralegal on a full-time, direct-hire basis for a hybrid opportunity. If you have 4+ years of Insurance Defense we would love for you to join our busy team. Law Firm ProfileLaw Firm is all about teamworkHybrid position 3 days in office and 2 at homeFocus will always be on the client’s...


  • Houston, United States The Menninger Clinic Full time

    Job DescriptionJob Description This position will provide float clinical services to patients and their families across our four inpatient units at The Menninger Clinic in collaboration with an interdisciplinary team. The Menninger Clinic is a Top Hospital ranked #7 nationally. Our inpatient units are subacute voluntary inpatient programs with patients...


  • Houston, United States Retina Consultants of Texas Full time

    Overview Retina Consultants of Texas (RCTX) is seeking an Insurance Verification Specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Your duties will also involve calling to obtain...


  • Houston, United States West Oaks Hospital Part time

    Job Description Responsibilities Patient Accounts Specialist (Insurance Collector) Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our -bed acute care facility is fully accredited and included a -bed residential treatment center for adult chemical...

  • PEDIATRIC LVN/LPN

    1 week ago


    Ft Sam Houston, FT SM HOUSTON, TX 78234, USA, United States Wisestaff LLC Full time

    Job Type Full-timeDescription***BEFORE APPLYING, PLEASE NOTE THAT ONLY CANDIDATES WHO HAVE at least 1 year of INPATIENT PEDIATRIC nursing experience will be considered. No exceptions!!! This does NOT include Home Health or Rehab facility experience! *** $350 SIGN-ON BONUS!Are you ready for a game-changing career opportunity at San Antonio Military Medical...

  • Registered Nurse

    6 days ago


    Houston, United States Texas Children's Hospital Full time

    Registered Nurse (RN), Inpatient - Neurology - Nights Job Summary We are searching for an Inpatient Registered Nurse to work nights in Neurology someone who works well in a fast-paced setting. In this position, you will provide nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that...

  • Registered Nurse

    3 weeks ago


    Houston, United States Texas Children's Hospital Full time

    Registered Nurse (RN), Inpatient - Neurology - NightsJob Summary We are searching for an Inpatient Registered Nurse to work nights in Neurology -- someone who works well in a fast-paced setting. In this position, you will provide nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that...


  • Houston, United States Allnations Insurance Agency Full time

    Job DescriptionJob Description Benefits/PerksCompetitive PayProfessional DevelopmentJob Stability in a growing industryThe Commercial Lines Producer  is responsible for maintaining and maximizing profitable relationships with clients and maintaining their book of business and client retention. ResponsibilitiesIdentify, qualify, and develop commercial...


  • Houston, United States Brown & Brown Insurance Full time

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.Brown & Brown is an independent insurance intermediary that through its licensed subsidiaries provides a variety of insurance and reinsurance products and services to corporate, public entity, institutional, trade,...