INSURANCE VER REP

Universal Health Services; Denison (TX); On-site; USD 32,000 - 52,000; Full time

Job summary

Texoma Medical Center, part of Universal Health Services, seeks an Insurance Verification Clerk in Denison, TX. You will verify insurances for all facilities at TMC, contact insurers for benefits and pre-certification within 24 hours of admission, and notify case management with online verification forms.

The role requires strong customer service, 2 years of healthcare business office experience, and knowledge of Medicare/Medicaid and Commercial insurance.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of medical/healthcare business office experience.
• Proficient in basic PC use, 10-key calculator, keyboarding.
• Knowledge of Medicare, Medicaid and Commercial insurance.
• Strong customer service, communication and organizational skills.
• Compliance with policies and Code of Conduct.

Responsibilities

• Verify insurance plans for all facilities at Texoma Medical Center.
• Call insurance companies to obtain benefits and pre-certification within 24 hours of admission.
• Provide online verification forms to case managers and notify of pending or approved pre-certification.
• Communicate with the case management department.
• Conduct patient registration by interviewing patients or responsible parties to obtain identification and demographics.
• Explain TMC Financial policies and collect patient portions.

Skills

Customer service

Telephone etiquette

Organization skills

Communication skills

Analytical skills

Arithmetic skills

Negotiation skills

Problem solving

Computer skills

Education

High school diploma or equivalent

Tools

10-key calculator

Keyboarding

Office equipment (copier, fax)

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.

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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.