Insurance Verification & Financial Clearance Specialist

Baylor Scott & White Health; Dallas (TX); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Immediate eligibility for health and-w

401(k) savings plan with dollar-for-dl

Tuition Reimbursement

PTO accrual beginning Day 1

Job summary

Baylor Scott & White Health is hiring an Insurance Verification Specialist 1 to verify coverage and provide financial clearance for patients, physicians and hospital staff. You will impact reimbursement by ensuring timely verification of benefits and accurate patient responsibility estimates.

Work in a fast-paced healthcare setting, collaborating with care teams, payers and patients. Strong attention to detail, empathy and adherence to payer guidelines are essential for success in this role.

Qualifications

• 1 year of healthcare or customer service experience preferred.
• Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality.
• Ability to understand and adhere to payer guidelines by plan and service type.
• Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
• Maintain a professional demeanor in stressful and emotional environments. Handle behavioral health and suffering patients, including life or death situations.
• Must exhibit high empathy and communicate well with patients and families during traumatic events.
• Demonstrates 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.

Responsibilities

• Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed on time.
• Completes appropriate payor forms related to notification and authorization.
• Coordinates the submission of clinical documentation from physicians to payers for authorization needs.
• Calculates accurate patient financial responsibility.
• Communicates promptly with Utilization Review. Collaborates effectively with the physician and facility staff. Ensures financial clearance of the patient's account before any service during the hospital stay.
• Interprets complex payer coverage information, including network participation status, limited plan coverage, and inactive benefits.
• Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.

Skills

Healthcare experience

Customer service

Communication skills

Data entry

Microsoft Office

Multitasking

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Baylor Scott & White Health is hiring an Insurance Verification Specialist 1 to verify coverage and provide financial clearance for patients, physicians and hospital staff. You will impact reimbursement by ensuring timely verification of benefits and accurate patient responsibility estimates.

Work in a fast-paced healthcare setting, collaborating with care teams, payers and patients. Strong attention to detail, empathy and adherence to payer guidelines are essential for success in this role.