INSURANCE VER REP

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

Responsibilities

Texoma Medical Center, a 414-bed acute care facility has been providing quality health care to the residents of North Texas and Southern Oklahoma since 1965. Our main campus is located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth area and just south of the Texas/Oklahoma border. In addition, we have numerous facilities in locations throughout the Texoma region. Since 1965, TMC has forged a special relationship with the people of North Texas and Southern Oklahoma. Texoma residents have come to depend on TMC to meet a spectrum of physical, mental and spiritual needs. TMC has responded with unique services to provide the kind of sophisticated, experienced care that was once available only in major metropolitan areas. We offer major specialty services including open heart surgery and neurosurgery. Advanced resources such as certified trauma care support TMC's role as a regional specialty center.

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Performs duties related verification of insurances for all facilities at TMC. Verifies the insurance plans, calls the insurance companies to obtain benefits along with pre-certification within a timely manner of 24 hours of the admission except for the patients that are admitted on Fridays and during the weekend. Ensures that the case managers receive an online verification form which notifies of any clinical pending and or days that are approved for pre-cert. Communicates effectively with the case management department. Performs patient registration functions by interviewing patient or responsible party to obtain identification and demographic information. Communicates TMC Financial policies to patients and collects patient portions.

Qualifications

High school or equivalent

Two Years Of Medical/healthcare Business Office Experience Required

Basic PC experience, 10-key calculator, keyboarding, and use of other office machines such as copier, fax, etc. Knowledge of third-party payers - Medicare, Medicaid, and Commercial insurance. Outstanding people skills, including telephone technique, personal appearance, organization skills, communicable skills (oral and written), independent and self-motivated, flexible, analytic and arithmetic skills, negotiation skills, problem solving skills. Excellent customer service skills required. Computer skills required. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.