Insurance Verification Specialist (Bariatric Clinic)

White Rock Medical Center LLC•Dallas, TX

About The Position

Position Summary: Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance.

Requirements

At least one (1) year of previous experience in a medical/ or surgery office setting
Minimum one (1) year of previous experience with insurance verification and/or claims and denials.
Basic knowledge of Medical Terminology
Proficient computer and telephone skills
Basic math skills
High school diploma or equivalent is required.

Nice To Haves

Some college is preferred.

Responsibilities

Accurately enter insurance information into computer system.
Responsible for pre-certification/ authorization and insurance verification for all patients
Research, follow up and resolve open & pending authorizations in a timely manner
Calculate cash estimates for patients on upcoming visits/ procedures
Concisely, precisely and accurately document all information.
Maintain clear communication with patients as well as insurance companies.
Obtain prior authorization for procedures.
Scanning medical documents into patient accounts
Demonstrates ability to effectively communicate (written and oral) with individuals and groups of various backgrounds and educational levels in a high stress environment.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner, under stressful demands while maintaining exceptional customer service.
Reviews and processes patient registration forms and ensuring they contain all necessary documents.