Insurance Verification Specialist - Hybrid

Financial Women’s Association; Dallas (TX); On-site; USD 42,000 - 55,000; Full time

Job summary

A leading healthcare organization in Texas is seeking an Insurance Verification Specialist to ensure timely verification of patients' insurance benefits. This vital role provides essential support for financial clearance processes that significantly impact reimbursement for services provided. Candidates should have strong communication skills, empathy, and the ability to navigate complex healthcare environments, ensuring excellent patient interactions.

Benefits

401(k) savings plan with dollar-for-dollar match up to 5%

Tuition Reimbursement

PTO accrual beginning Day 1

Immediate eligibility for health and welfare benefits

Qualifications

• High school diploma or GED is required.
• 1 year of healthcare or customer service experience preferred.
• Excellent data entry and typing skills.

Responsibilities

• Verifies insurance eligibility and benefits for patients.
• Calculates accurate patient financial responsibility.
• Communicates effectively with staff for reimbursement coverage.

Skills

Communication

Customer Service

Data Entry

Empathy

Education

H.S. Diploma/GED Equivalent

Tools

Microsoft Office

Job description

• Insurance Verification Specialist - Hybrid

Description

*JOB SUMMARY* The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled. *ESSENTIAL FUNCTIONS OF THE ROLE* * Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. * 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 timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patient's account prior to scheduled or unscheduled service during the patient's hosptial stay. * Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits. * Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. *KEY SUCCESS FACTORS* * 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 know and adhere to payer guidelines by plan and service type. * Requires good listening and communication skills, and professional telephone etiquette. * Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations. * Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills. * 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. *BENEFITS* Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level *QUALIFICATIONS* * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience

As the largest not-for-profit healthcare system in Texas and one of the largest in the United States, Baylor Scott & White Health was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare.Today, Baylor Scott & White includes 52 hospitals, more than 1,300 health system care sites, more than 7,200 active physicians, over 57,000 employees and the Baylor Scott & White Health Plan.

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