Insurance Verification Specialist I
Location: Pearland Administrative Office
Department: Gen Admin-Bofc-InsVerification
Job Type: Full Time
Kelsey-Seybold Clinic. Changing the Way Health Cares.
Kelsey-Seybold Clinic is Houston's premier multispecialty group
practice, founded in 1949 by Dr. Mavis Kelsey. With 19 clinic
locations and more than 400 physicians, Kelsey-Seybold provides
medical care in 55 medical specialties and is home to a nationally
accredited Breast Diagnostic Center, Endoscopy Center, Infusion
Center and Cancer Center. Our mission is to provide our team
members with exceptional opportunities for professional and
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.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)
High school diploma or GED from an accredited program
Knowledge of insurance concepts and theory.
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.
Two years of experience in medical office environment handling
insurance verification with knowledge of wide range of products.
MS Office, Computer skills, Internet. Must demonstrate fast and
accurate computer and typing skills.
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
High PC proficiency. Excellent communication skills.