Insurance Verification Rep - Clinic

CommonSpirit Health; Conroe (TX); Sur place; USD 23 000 - 33 000; Plein temps

Résumé du poste

CommonSpirit Health is seeking an Insurance Verification Representative to support pre-service activities and verify patient insurance benefits with accuracy and care.

You will contact payers, confirm coverage, identify patient responsibility, and document findings to support billing and minimize barriers to care.

Strong attention to detail and clear communication are essential for delivering a smooth patient experience; healthcare administrative experience is preferred.

Qualifications

• Excellent attention to detail and accuracy in verification of benefits.
• Strong communication skills with patients, payers, and clinical staff.
• Ability to work in a fast-paced healthcare environment and maintain compliance.

Responsabilités

• Contact insurance payers to verify coverage.
• Identify patient financial responsibilities and document findings for billing.
• Resolve coverage issues and escalate to supervisor when needed.
• Coordinate with clinic staff to obtain charge information and ensure accurate coding.

Connaissances

Attention to detail

Strong communication

Customer-focused

Formation

Bachelor's degree in related field

Description du poste

Job Summary And Responsibilities

As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience.

Job Summary And Responsibilities

As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience. Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care. To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.

• Ensure insurance coverage by telephone.
• Resolve any issues with coverage and escalates complicated issues to manager.
• Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
• Coordinate with clinical staff to obtain charge information for all patients.
• Code procedures performed and diagnosis on charge.
• Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.

Job Requirements

Required

• Bachelors Other in related field or 2 – 4 years healthcare experience, upon hire
• None, upon hire

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Pay Range

$16.91 - $23.88 /hour