Healthcare Insurance Verification Specialist

Texoma Medical Center; Denison (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Texoma Medical Center in Denison, TX, a 414-bed acute care facility, has provided quality health care since 1965. Our main campus is located in Denison, just north of the Dallas area. The center offers major specialty services including open heart surgery and neurosurgery.

Performs duties related to insurance verification, patient registration, and communicating financial policies to patients. The role requires strong customer service and knowledge of Medicare/Medicaid and private insurance.

Qualifications

• High school diploma or equivalent.
• Two years of medical/healthcare business office experience required.
• Basic PC experience, 10-key calculator, keyboarding and office machines.
• Knowledge of Medicare, Medicaid, and Commercial insurance.
• Excellent customer service, communication, and problem-solving skills.

Responsibilities

• Performs duties related to verification of insurances for all facilities at TMC.
• Verifies insurance plans and calls insurers to obtain benefits and pre-certification within 24 hours of admission (except Fridays/weekends).
• Ensures case managers receive an online verification form notifying clinical pending or approved days for pre-certification.
• Communicates effectively with the case management department and collects patient portions.
• Performs patient registration by interviewing patients or responsible party to obtain identification and demographics.
• Communicates TMC Financial policies to patients.

Skills

Basic PC skills

10-key calculator

Communication skills

Customer service

Negotiation/problem solving

Education

High school or equivalent

Job description

Texoma Medical Center in Denison, TX, a 414-bed acute care facility, has provided quality health care since 1965. Our main campus is located in Denison, just north of the Dallas area. The center offers major specialty services including open heart surgery and neurosurgery.

Performs duties related to insurance verification, patient registration, and communicating financial policies to patients. The role requires strong customer service and knowledge of Medicare/Medicaid and private insurance.