Insurance Verification Specialist

16 hours ago


Dallas, Texas, United States Baylor Scott & White Healthcare Full time
Job Summary

The Insurance Verification Specialist plays a critical role in ensuring timely verification of insurance benefits and financial clearance for patients, physicians, and internal hospital personnel. This position has a direct impact on the organization's reimbursement from payers for patient accounts.

Key Responsibilities
  • Verify insurance eligibility and benefits for patients, physicians, and internal hospital personnel.
  • Ensure timely financial clearance of patient accounts, which has a direct impact on the organization's reimbursement from payers.
  • Communicate effectively with Utilization Review, physicians, and facility staff to ensure financial clearance of patient accounts prior to scheduled or unscheduled services.
  • Interpret complex payer coverage information, including network participation status, limited plan coverage, and inactive benefits.
  • Document systems according to Insurance Verification guidelines to ensure accurate and timely reimbursement.
Requirements
  • 1 year of healthcare or customer service experience preferred.
  • Ability to consistently meet performance standards of production, accuracy, completeness, and quality.
  • Knowledge of payer guidelines by plan and service type.
  • Excellent listening and communication skills, with professional telephone etiquette.
  • Ability to maintain a professional demeanor in a highly stressful and emotional environment.
  • Ability to manage multiple, changing priorities in an effective and organized manner.
  • Excellent data entry, numeric, typing, and computer navigational skills.
  • Basic computer skills and Microsoft Office.
Benefits

Our competitive benefits package includes:

  • Immediate eligibility for health and welfare benefits.
  • 401(k) savings plan with dollar-for-dollar match up to 5%.
  • Tuition Reimbursement.
  • PTO accrual beginning Day 1.
Qualifications

EDUCATION - H.S. Diploma/GED Equivalent.

EXPERIENCE - Less than 1 Year of Experience.



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