Insurance Validation Advocate

2 weeks ago

The Woodlands, United States Elevate Patient Financial Solutions Full time

**Elevate Patient Financial Solutions** has an exciting career opportunity available as an **Insurance Validation Advocate**. This position will be **Hybrid in The Woodlands, TX **rotating between an in-office and work from home role. The position will require local presence. The Full Time schedule for this role will be **Monday-Friday; 8am-5pm.**

**Job Summary**

The purpose of this position is to review and validate/verify medical insurance to ensure the coverage is valid and belongs to the associated patient.

**Essential Duties and Responsibilities**
- Perform insurance verification to ensure the insurance located belongs to the associated patient.
- Call patients, guarantors, and payors as necessary to validate demographics and insurance coverage
- Verify eligibility, member benefits, authorization requirements and billing address of each payor.
- Review hospital system when necessary in an effort to collect information in the validation process
- Update insurances in the Patient Accounting System with accurate insurance information and a detailed description of the validation process
- Seek assistance from management when appropriate
- Perform the standard number of validations per day on average
- Closely communicate and coordinate with the client hospitals and onsite Elevate PFS staff with respect to their accounts
- Respond to other tasks assigned by the department manager
- Other duties as assigned.

**Qualifications and Requirements**
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
- High School diploma required.
- Excellent customer service skills (friendly, courteous, and helpful).
- Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client’s staff members.
- Strong analytical and problem-solving skills a must
- Ability to multi-task; excellent organizational and planning skills required.
- Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.

**Benefits**
ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization’s greatest asset We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
- Medical, Dental & Vision Insurance
- 401K (100% match for the first 3% & 50% match for the next 2%)
- 15 days of PTO
- 7 paid Holidays
- 2 Floating holidays
- 1 Elevate Day (floating holiday)
- Pet Insurance
- Employee referral bonus program
- Teamwork: We believe in teamwork and having fun together
- Career Growth: Gain great experience to promote to higher roles

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

**ElevatePFS is an Equal Opportunity Employer

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