Insurance Verification Representative FT - ROC

UHS • Edinburg, TX

3d • Onsite

About The Position

Performs duties related to the verification of insurances for all facilities at STHS. Verifies insurance plans, contacts insurance companies to obtain benefits and pre-certification within 24 hours of admission (excluding Friday and weekend admissions). Ensures case managers receive an online verification form detailing clinical pending issues and approved pre-cert days. Communicates effectively with the case management department. Performs patient registration by interviewing patients or responsible parties to gather identification and demographic information. Communicates STHS Financial policies to patients and collects patient portions.

Requirements

• One to two years of medical/healthcare business office experience required.
• Excellent customer service skills required.
• Computer skills required.
• Good verbal communication skills in English/Spanish languages required.
• Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct.

Nice To Haves

• High School diploma, GED, or Higher Education preferred.

Responsibilities

• Verifies insurance plans for all STHS facilities.
• Contacts insurance companies to obtain benefits and pre-certification within 24 hours of admission.
• Notifies case managers of clinical pending issues and approved pre-cert days via an online verification form.
• Communicates effectively with the case management department.
• Performs patient registration, collecting identification and demographic information.
• Communicates STHS Financial policies to patients.
• Collects patient portions of costs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED