Insurance Verifier - Telecommute - (Must Reside in TX)

Houston Methodist • Houston, TX

374d • Remote

About The Position

The Insurance Verifier position at Houston Methodist is responsible for obtaining and recording eligibility and benefit information for patients, confirming authorizations, and completing admission notifications. This role requires effective communication with patients, co-workers, insurance companies, and physicians to ensure timely financial clearance of accounts and to resolve access to care issues. The position is essential in maintaining patient satisfaction and ensuring compliance with financial policies.

Requirements

• High School diploma or equivalent education.
• One year of healthcare experience, including insurance verification, preferably in a hospital or clinic setting.
• Proficiency in Microsoft Office components and knowledge of electronic health record software (EPIC preferred).
• Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies.
• Ability to manage multiple tasks in a fast-paced environment.
• Mid-level medical terminology knowledge and understanding of insurance requirements.

Nice To Haves

• Working knowledge of CPT, ICD-9, and ICD-10 codes.

Responsibilities

• Obtain and record eligibility and benefit information for patients.
• Confirm authorizations and complete admission notifications as applicable.
• Calculate patient liability and generate estimates for financial responsibility.
• Serve as a liaison between patients, facility, physicians, and department for financial clearance.
• Communicate with scheduling to inform patients of authorization status.
• Monitor and track authorizations, ensuring accurate CPT codes and expiration dates.
• Respond promptly to requests regarding financial clearance status and resolution.
• Maintain confidentiality in all communications.
• Document patient liabilities, co-pays, and deductibles accurately and timely.
• Notify payers of patient admissions or procedures for reimbursement.

Benefits

• Health insurance coverage
• Dental insurance coverage
• Vision insurance coverage
• 401k retirement savings plan
• Paid holidays
• Flexible scheduling options

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED