Insurance Verification Rep - Clinic

CommonSpirit Health; The Woodlands (TX); On-site; USD 23,000 - 33,000; Full time

Job summary

CommonSpirit Health in The Woodlands, TX is seeking an Insurance Verification Representative to provide pre-service support by verifying patient insurance benefits and ensuring financial clarity for a smooth patient experience. You will contact payers, confirm coverage, identify patient responsibilities, and document findings to support accurate billing and timely access to care.

Strong attention to detail and customer-focused communication are essential.

Qualifications

• Bachelor's degree or 2-4 years healthcare experience.
• Ability to verify insurance benefits and determine patient responsibilities.
• Strong attention to detail and customer-focused communication.

Responsibilities

• Verify insurance coverage by telephone and document findings.
• Resolve coverage issues and escalate as needed.
• Interview patients and complete paperwork for admitting process.
• Coordinate with clinical staff to obtain charge information.
• Code procedures and assign ICD-9, CPT and HCPCS codes as needed.

Skills

Attention to detail

Communication skills

Customer service

Healthcare terminology

Education

Bachelor's degree or 2-4 years healthcare experience

Job description

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

• 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