Insurance Verification Specialist I - Kelsey Seybold Clinic - Pearland - Hybrid

UnitedHealth Group•Pearland, TX

7d•$16 - $29•Hybrid

About The Position

Under the general direction of the Supervisor, the Insurance Verification Specialist is primarily responsible for verifying insurance eligibility and benefits, determining insurance filing order, and preparing patient pre-treatment cost-share estimates based on the service schedule, contracted plan reimbursement allowances, benefits, and out of pocket thresholds. Primary Responsibilities: Responsible for accurately entering or updating patient demographics, insurance coverage, effective and termination dates, and filing order in the Practice Management System Communicates with patients by phone or electronically to explain coverage and benefits, pre-treatment cost estimates and patient financial liability, advises of non-coverage, takes payments, and sets up payment plans for services following department policies Exhibits exceptional customer skills to provide the patient with a positive experience You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School diploma or GED from an accredited program
One year in similar field involving insurance verification, patient accounts or medical office functions; OR 6 months similar experience with an Associate or higher degree or completion of Medical Billing & Coding Course; OR 6 months registration, scheduling, or front desk experience at Kelsey-Seybold Clinic
MS Office, Computer skills, Internet. Must demonstrate fast and accurate computer and typing skills
Alpha/Num Forms Entry
Basic knowledge of health insurance
Ability to add and subtract 4-digit numbers and apply percentages and discounts

Nice To Haves

2+ years of experience in medical office environment handling insurance verification with knowledge of wide range of products
Knowledge of insurance concepts and theory
Kelsey-Seybold experience
Epic Experience
High PC proficiency
Good customer service verbal and writing skills
Excellent communication skills

Responsibilities

Accurately entering or updating patient demographics, insurance coverage, effective and termination dates, and filing order in the Practice Management System
Communicating with patients by phone or electronically to explain coverage and benefits, pre-treatment cost estimates and patient financial liability, advising of non-coverage, taking payments, and setting up payment plans for services following department policies
Exhibiting exceptional customer skills to provide the patient with a positive experience