Insurance Verification Specialist I

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Responsibilities

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. 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.

Job Title: Insurance Verification Specialist I

Clinic Location: Pearland Administrative Office

Department: Bofc-InsVerification

Job Type: Full Time

Salary Range: $38,422 - $47,460 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: High School diploma or GED from an accredited program

Preferred: Knowledge of insurance concepts and theory.

Experience

Required: 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.

Preferred: Two years of experience in medical office environment handling insurance verification with knowledge of wide range of products. Kelsey-Seybold experience.

License(s)

Required: N/A

Preferred: N/A

Special Skills

Required: MS Office, Computer skills, Internet. Must demonstrate fast and accurate computer and typing skills.

Preferred: Epic Experience

Other

Required: Basic PC literacy. Alpha/Num Forms Entry. Good customer service verbal and writing skills. Basic knowledge of health insurance. Ability to add and subtract 4-digit numbers and apply percentages and discounts.

Preferred: High PC proficiency.

Excellent communication skills.

Working Environment: Office

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental
• Tuition Reimbursement
• Company Matching 401K
• Employee Reward and Recognition Program
• Paid time off for vacation, sick, and holidays
• Employee Assistance Program
• Continuing Medical Education allowance

Insurance Verification Specialist I