Insurance Verification Specialist

4 weeks ago


Arlington, Virginia, United States Texas Health Resources Full time

Job Summary:

We are seeking a skilled Insurance Verification Specialist to join our team at Texas Health Resources. As an Insurance Verification Specialist, you will be responsible for verifying patient eligibility, benefits, and ensuring all notifications and authorizations are completed within the required timeframe.

Key Responsibilities:

  • Verify patient eligibility and benefits through various insurance providers
  • Ensure all notifications and authorizations are completed within the required timeframe
  • Communicate timely with Pre Access, Utilization Review, Financial Counselors, and Physician Offices to ensure verification of the patient's account prior to scheduled or unscheduled service during the patient's hospital stay
  • Document systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement
  • Utilize tools such as Trace, OneSource, Web Portals, etc. to complete verifications, pre-certifications, and notifications as required in order to ensure the system maximizes revenue for the account
  • Log into Avaya System and phone queue
  • Stay abreast of and comply with applicable regulations, department and/or system policies and procedures
  • Ability to know and adhere to payer guidelines by plan and service type

Requirements:

  • High School Diploma or Equivalent is required
  • 1 Year Experience in business office in healthcare environment/patient access in hospital setting/call center in healthcare environment/Revenue Cycle experience in healthcare required
  • Working knowledge of Medical Terminology preferred
  • Insurance verification knowledge preferred
  • CHAA - Certified Healthcare Access Associate Upon Hire preferred

What We Offer:

At Texas Health Resources, we offer a comprehensive benefits package, including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.

About Us:

Texas Health Resources is a faith-based, nonprofit health system that serves the Dallas-Fort Worth area. Our mission is to improve the health of the people in the communities we serve. We strive to create an atmosphere of respect, integrity, compassion, and excellence for all. We're committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic, and generational boundaries.



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