Insurance Verifier

United Surgical Partners International, Inc; Houston (TX); On-site; USD 22,041 - 30,307; Full time

Job summary

USPI Kingwood Endoscopy Surgery Center is seeking an Insurance Verifier to obtain and record patient eligibility and benefit information, ensuring timely financial clearance for elective and urgent services.

The role involves using Cerner and payer sites, communicating with patients and providers, and initiating pre-certifications with attention to deadlines and accuracy.

Qualifications

• High School Graduate or GED is required.
• One or two years related experience in medical insurance verification.
• Ability to work independently and prioritize responsibilities.
• Sound knowledge of accounting theory and practices to estimate portions due.
• Ability to meet deadlines with accuracy.
• Strong organizational skills and multi-project management.
• Effective communication with patients and co-workers.
• Contributes to patient satisfaction and billing processes.
• Makes physicians aware of financial clearance issues and supports billing questions.
• Reviews benefits, patient liabilities, authorization/ pre-cert requirements.

Responsibilities

• Obtain and record eligibility and benefit information for patients.
• Initiate admission notification, pre-certification and authorization processes.
• Communicate with patients, insurers, and physicians to secure timely financial clearance.
• Maintain documentation standards and accuracy in records.
• Assist pre-registration team during peak times.

Skills

Independence

Prioritization

Accounting knowledge

Time management

Organization

Communication

Patient satisfaction

Billing support

Pre-registration support

Education

High School Diploma or GED

Tools

Cerner system

Job description

USPI Kingwood Endoscopy Surgery Center, is seeking a motivated Insurance Verifier to join our team. Kingwood Endoscopy Surgery Center is a fast-paced ASC environment committed to producing the highest quality work and experience for patients and their families.

Job summary: The Insurance Verifier is responsible for obtaining and recording eligibility and benefit information for patients receiving services at Memorial Hermann Surgical Hospital Kingwood. The incumbent will utilize online resources such as Cerner and/or payers' websites, as well as the phone, to obtain the necessary information to provide financial clearance and to successfully secure accounts for elective and urgent services timely. The Insurance Verifier will utilize effective communication skills in all interactions with patients, co-workers, insurance companies, physicians, etc. Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies, as well as utilization requirements, will assist in ensuring that criteria for coverage and reimbursement are met. The incumbent will initiate the admission notification/pre-certification/authorization process in a timely manner. Competency requirements for computer entry, as well as insurance procedures, will be maintained.

USP-123

Required Skills:

Qualifications:

• High School Graduate or GED
• One or two years related experience in medical insurance verification.
• Possess the ability to work independently and prioritize responsibilities.
• Sound knowledge of accounting theory and practices to calculate estimated portions due.
• Capability to work with rigid deadlines while maintaining a high degree of accuracy.
• Strong organizational skills and ability to manage multiple projects to ensure documentation standards are followed.
• Communicates openly in a non-judgmental and professional demeanor during all interactions with patients and co-workers.
• Contributes to departmental and hospital patient satisfaction
• Makes physicians and other pertinent parties aware of situations affecting the financial clearance of their patient.
• Serves and the resource person for billing and insurance questions.
• Ensures accounts are financially secure by reviewing and documenting benefits, patient liabilities, authorization/pre-cert requirements and other relevant information.
• Support pre-registration team during peak times.