Insurance Verification Specialist

Memorial Hermann Health System•The Woodlands, TX

About The Position

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position is responsible for analyzing patient accounts, researching account history, and determining the appropriate information for billing patients’ third party insurance carriers within a standard time frame.

Requirements

High School Diploma or GED, preferred and/or some college
Four (4) years clerical experience in a medical/hospital environment
Knowledge of insurance technology, medical terminology, and managed care or health industry regulations and mail processing skills
Strong analytical and problem solving skills
Proficient PC skills (Microsoft Word processing, Excel spreadsheet data entry & construction of new data sheets, Access Data Base, Microsoft Outlook, Electronic Billing system and Imaging software, and calculator by touch

Responsibilities

Prepares UB92 third party billing for mailing following US Postal Regulations.
Sorts returned mail daily, makes corrections in three patient accounting systems and re-mails to complete the billing process.
Verifies and processes Audit bills from third party audit.
Enters errors found in Return mail into the access database as they are identified.
Update demographic/insurance data in three patient accounting systems.
Research missing data as requested by billing staff.
Contact insurance companies or patients for missing information.
Make corrections on-line in the appropriate patient access systems.
Assists Billing Data Analysts by working daily NEIC reports.
Documents communications with personnel, third party vendors, and patients.
Works various daily, weekly, and monthly reports.
Access and retrieve information in the AMS Imaging system.
Itemized statements or implantable invoices to submit with UB92
Mentors and serves as a resource for less experienced personnel.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.