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Insurance Verification Representative

2 months ago

Schertz, United States South Texas Radiology Imaging Centers Full time

Description

Introduction

Do you have the career opportunities as a(an) Insurance Verification Rep you want with your current employer? We have an exciting opportunity for you to join South Texas Radiology Imaging Centers which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

South Texas Radiology Imaging Centers, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Insurance Verification Rep where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise

Job Summary and Qualifications

The Pre-Registration/Insurance Verifier is responsible for verifying eligibility and benefits of health insurance, government programs and/or workers compensation insurance prior to a patient having an examination. The process also includes verification of the insurance company claims billing address. Must also verify as to whether procedure that has been scheduled requires pre-certification or an authorization number in order to be performed and reimbursed.

Essential Job Functions:

1. Verifies policy and group number, as well as guarantor and dependents information with insurance company; verifies eligibility and benefits with insurance company; verifies claim mailing address of insurance company.

2. Annotates all scheduling changes appropriately in the patients history notes.

3. Verifies whether pre-certification or pre-authorization is required for exam to be performed and reimbursed.

4. Contacts referring physician office if required to obtain additional information regarding exam to send to insurance company for authorization of exam.

5. Notifies referring physician office, patient and/or imaging center if exam is not authorized or if exam will not be covered.

What qualifications you will need:

  • High School Graduate or GED required. Must have excellent phone etiquette and communication skills. Must demonstrate proficiency in operating modern telephone, computer and office equipment. Must have a working knowledge of medical terminology. Must possess a working knowledge of health insurance, government programs and workers compensation.

For over 50 years, South Texas Radiology Imaging Centers (STRIC) has provided full service, outpatient diagnostic imaging and interventional radiology services in San Antonio, Texas.
South Texas Radiology Imaging Centers is one of the region's largest outpatient diagnostic imaging providers with over 70 Board-Certified Radiologists and 22 facilities conveniently located throughout San Antonio and the surrounding communities.
STRIC, through Methodist Healthcare, offers career opportunities to imaging professionals.