Medical Insurance Verification Specialist
4 weeks ago
Premier Medical Resources is a healthcare management company seeking a skilled Insurance Verification Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for verifying patient insurance coverage, ensuring accurate financial clearance, and communicating with patients and healthcare providers.
Key Responsibilities:
- Verify patient insurance coverage and benefits through online portals, phone calls, and other resources
- Resolve coverage issues and update patient Electronic Medical Records (EMR)
- Enter accurate insurance coverage information into patient EMR
- Serve as a liaison between patients, facilities, physicians, and other departments to ensure timely and accurate financial clearance
- Identify patient accounts based on self-pay, PPO, HMO, personal injury, workmen's compensation, or other managed care organizations
- Collect relevant data for eligibility and benefit verification, including ICD-10 and billable CPT codes
- Communicate with internal and external individuals to obtain information, resolve benefit issues, and ensure accurate benefit information
- Respond to inquiries regarding patient accounts with accurate and professional information
- Ensure accounts are financially secured by reviewing and documenting benefits, patient responsibilities, authorization requirements, and other relevant information
- Create financial arrangements with management when a patient is unable to complete payment
- Collaborate with billing and coding departments to ensure correct processing of claims
Requirements:
- High School Diploma or GED
- One (1) year of hospital revenue cycle experience
- One (1) year of general customer service experience
- Broad knowledge of HIPAA, federal, and state regulations
- Ability to work independently and function within a team
- Strong knowledge of managed care, medical terminology, CPT Coding, and ICD-10
- Knowledge of payor guidelines, including reading, understanding, and interpreting medical records and payor requirements
Benefits:
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Please visit our website for more information:
www.pmr-healthcare.com
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
-
Insurance Verification Specialist
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob DescriptionPremier Medical Resources is a healthcare management company that strives to leverage the expertise of its employees to drive quality in all aspects of its operations. The company aims to create career pathways for its employees, from those just starting their professional careers to those seeking to bring their expertise and leadership to the...
-
Insurance Verification Specialist
4 weeks ago
Houston, Texas, United States Retina Consultants of Texas Full timeJob Title: Insurance Verification SpecialistOverviewRetina Consultants of Texas (RCTX) is seeking an Insurance Verification Specialist to perform clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. The successful candidate will follow up on accounts that require...
-
Senior Verification Specialist
4 weeks ago
Houston, Texas, United States Saxon Global Full timeJob SummarySaxon Global is seeking a highly skilled Senior Verification Specialist to join our team. As a key member of our digital verification team, you will be responsible for designing and implementing verification environments for ASICs and FPGAs using SystemVerilog and UVM.Key ResponsibilitiesDesign and implement VHDL test benches for the verification...
-
Software Verification and Validation Specialist
4 weeks ago
Houston, Texas, United States Jacobs Full timeWe are seeking a talented Software Verification and Validation Specialist to join our team at Jacobs, a leading engineering solutions provider working with NASA at centers across the United States.The ideal candidate will have experience developing test cases and test scripts for software verification efforts, integrating software from various vendors, and...
-
Insurance Claims Specialist
1 month ago
Houston, Texas, United States Inception Fertility Corporate Services Full timeJob SummaryThe Insurance Verification Specialist plays a vital role in ensuring a seamless patient experience by verifying insurance plan benefits and patient eligibility. This position requires strong communication skills, attention to detail, and the ability to navigate online resources and insurance company websites.Key Responsibilities:Verify patient...
-
Insurance Claims Specialist
4 weeks ago
Houston, Texas, United States United Surgical Partners Full timeJob SummaryAt United Surgical Partners, we are seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying and entering patient information and insurance coverage into our computer system.Key ResponsibilitiesValidate patient information and insurance coverageCommunicate with...
-
Insurance Market Development Specialist
2 weeks ago
Houston, Texas, United States USI Insurance Services Full timeAbout USI Insurance ServicesUSI Insurance Services is a leading insurance brokerage and consulting firm that provides innovative solutions to clients across various industries. We are committed to delivering exceptional service and expertise to our clients, and we are seeking a talented Insurance Market Development Specialist to join our team.Job SummaryWe...
-
Commercial Insurance Specialist
1 month ago
Houston, Texas, United States USI Insurance Services Full timeJob SummaryWe are seeking a highly skilled and experienced Commercial Insurance Specialist to join our team at USI Insurance Services. As a key member of our commercial lines sales team, you will be responsible for marketing new business opportunities to carrier partners, supporting commercial lines sales associates, and providing marketing analytics and...
-
Medical Claims Specialist
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timeJob Summary: We are seeking a skilled Medical Billing Specialist to join our team at Premier Medical Resources. As a Medical Billing Specialist, you will be responsible for analyzing patient records and coding patient information based on ICD-10 and CPT codes.Key Responsibilities:Review medical record documentation to ensure pertinent diagnoses are...
-
Insurance Authorization Specialist
4 weeks ago
Houston, Texas, United States UTHealth Full timeJob SummaryWe are seeking a skilled Insurance Authorization Verification Specialist to join our team at UTHealth Houston. This role is responsible for verifying insurance policy benefits and obtaining authorization/pre-certification for patients prior to their visit or scheduled admission.Key ResponsibilitiesVerify insurance policy benefits for new and...
-
System Verification and Validation Specialist
1 month ago
Houston, Texas, United States Mclaurin Aerospace Full timeJob DescriptionWe are seeking a talented System Verification and Validation Engineer to join our team at Mclaurin Aerospace. This role will involve developing test cases and test scripts for software verification efforts, integrating software from various vendors, and developing tests for dynamic physical systems.The ideal candidate will have a bachelor's...
-
Insurance Sales Representative
4 weeks ago
Houston, Texas, United States Farmers Insurance Full timeJob SummaryAs an Insurance Sales Representative at Farmers Insurance, you will play a crucial role in supporting the sales goals of our agency or specialist department. Your primary objective will be to contribute to the growth of our business by identifying new opportunities, cross-selling, and providing exceptional customer service.Key...
-
Medical Authorization Specialist
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timePrior Authorization Specialist Job DescriptionPremier Medical Resources is a healthcare management company that aims to leverage the expertise of its employees to drive quality in all aspects of its operations. We strive to create career pathways for our employees, from those just starting their professional journey to those seeking to bring their expertise...
-
Insurance Contracting Specialist
4 weeks ago
Houston, Texas, United States Benefits & Care Insurance Brokers Full timeThe Contracting Specialist plays a pivotal role in Benefits & Care Insurance Brokers, overseeing the end-to-end process of onboarding new agents and agencies. This involves ensuring all documentation and agreements are properly completed, submitted, and processed according to regulatory and company guidelines.Key Responsibilities:Agent Onboarding: Facilitate...
-
Commercial Lines Insurance Specialist
1 month ago
Houston, Texas, United States Kingspoint Insurance Agency Full timeJob SummaryKingspoint Insurance Agency is seeking a highly skilled Commercial Lines Insurance Specialist to join our team. As a key member of our agency, you will be responsible for managing client relationships, providing expert advice on commercial insurance products, and ensuring seamless communication and service delivery.Key Responsibilities:Client...
-
System Verification and Validation Specialist
4 weeks ago
Houston, Texas, United States Oceaneering Full timeOceaneering Space Systems is seeking a talented System Verification and Validation Engineer to join our dynamic team. As a key member of our organization, you will play a crucial role in the Software Engineering section in the Engineering Department on the NASA JSC Engineering, Technology and Science II (JETS II) Contract.This exciting opportunity will give...
-
System Verification and Validation Specialist
4 weeks ago
Houston, Texas, United States MRI Technologies Full timeWe are seeking a highly skilled System Verification and Validation Engineer to join our team at MRI Technologies. As a key member of our team, you will be responsible for developing test cases and test scripts for software verification efforts, integrating software from various vendors, and developing tests for dynamic physical systems.The ideal candidate...
-
Insurance Defense Attorney
4 weeks ago
Houston, Texas, United States Progressive Insurance Full timeJob SummaryAs a Insurance Defense Attorney within our Bodily Injury (BI) unit, you will be a key member of our Motor Vehicle Insurance Defense Litigation team. Your primary responsibility will be to provide legal representation to Progressive insureds and/or the Progressive Insurance Companies in all aspects of litigation. This includes handling cases from...
-
Medical Claims Specialist
4 weeks ago
Houston, Texas, United States Premier Medical Resources Full timePremier Medical Resources is a healthcare management company that seeks to leverage the expertise of its employees to drive quality in all aspects of its operations.The company is currently hiring a Medical Billing Specialist to join its team.The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as...
-
Insurance Defense Attorney
4 weeks ago
Houston, Texas, United States Progressive Insurance Full timeJob SummaryAs a seasoned insurance defense attorney, you will be part of our dynamic motor vehicle insurance defense litigation team at Progressive Insurance. Your primary responsibility will be to provide top-notch legal representation to our insureds and the company in all aspects of litigation. This includes handling cases from inception to resolution,...