Medical Insurance Verification Specialist
About The Position
Our patients are our number one priority! We're committed to giving children back their childhood! This role is located in Dallas at the hospital and operates Monday - Friday from 8:00 a.m. to 4:30 p.m. The Medical Insurance Verification Specialist will perform all aspects of insurance verifications for patients scheduled for Inpatient and Outpatient procedures and special radiology procedures. This includes obtaining authorizations and pre-certifications, working with clinical staff for benefit review, requesting and securing referrals, and analyzing benefits for appropriate coverage. The role also involves calling families to verify information and insurance coverage, providing clerical and administrative support, assisting with billing systems, creating reports, and cross-training with other positions in Patient Access.
Requirements
- High School diploma required
- Knowledge of health insurance procedures
- Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff
- Self-starter with aptitude for following through on details and resolving discrepancies
- Ability to read, write and speak English
Responsibilities
- Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to patients, families and co-workers
- Perform all aspects of insurance verifications for the patients who are scheduled for Inpatient and Outpatient procedures and special radiology procedures
- Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
- Request and secure referrals from Primary Care Physicians and Insurance companies
- Analyze benefits for appropriate coverage for services
- Capable of calling families to verify their information and insurance coverage
- Provide clerical and administrative support as required
- Assist with updating and maintaining current billing systems/software
- Create reports for tracking and trending purposes
- Cross-train with other positions in Patient Access to provide coverage and understand overall functions of department
- Responsible for all correspondence from Insurance companies
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
