Verification Clerk

2 months ago

Beaumont, United States Baptist Hospitals of Southeast Texas Full time
We are looking to add top talent to our Baptist Hospitals of Southeast Texas team.

Join us in performing Sacred Work

Competitive benefits are offered including:

Matched Retirement Plan

Paid Time Off

Comprehensive Benefit Plan - Medical, Dental, Vision and Much More

Bonus Potential

Summary/Objective

The Scheduler/Verifier communicates directly with patients and pre-registers patients for service accurately; ensures that all insurance and financial information is accurate prior to service; communicates financial responsibility to patients and collects upfront payments when required; and communicates directly with physicians and patients to schedule all ordered and tests and surgeries in a timely fashion.

Essential Job Duties

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  1. Receives orders from physician offices and confirms that all patient demographics are present and accurate, that the order contains all required information and meets department protocols, and utilizes knowledge of medical terminology to confirm diagnosis codes provided on the order meet medical necessity, when applicable.
  2. Using provided software, web access, and telephone, verifies insurance with specific regard to services ordered. Determines financial responsibility when applicable and communicates financial responsibility to patients. Collects upfront payments when applicable.
  3. Determines authorization requirements and ensures that all appropriate authorizations are on file and accurate prior to service.
  4. Ensures that all demographic and financial information entered correctly in HIS and other applicable software. Using provided software, monitors accuracy of work performed and corrects all errors in work queue by the end of each shift.
  5. Communicates actual or potential problems regarding verification, scheduling, financial counseling, or patient satisfaction to direct supervisor. Responds to all request in a timely manner and communicates concisely and effectively with others. Reads and responds to email communications throughout each day during regularly scheduled business hours.
  6. Assist in other Patient Access areas when requested by management.

Required Education and Experience

High School degree or equivalent.

1-3 year experience

Required License/Certifications

N/A