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Insurance Verification Specialist I

Company: Kelsey-Seybold
Location: Pearland
Posted on: May 3, 2021

Job Description:

Insurance Verification Specialist I

Location: Pearland Administrative Office 

Department: Gen Admin-Bofc-InsVerification

Job Type: Full Time 

 

COMPANY PROFILE

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 personal growth.

 

JOB SUMMARY

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)

 

Education

A.

High school diploma or GED from an accredited program 

B.

 Knowledge of insurance concepts and theory.

Experience

A.

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.

B.

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

Licenses

A.

 

B.

 

Special Skills

A.

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

B.

Epic Experience

Other

A.

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.

B.

 High PC proficiency. Excellent communication skills.

 

 

WORKING ENVIRONMENT

Office 



Keywords: Kelsey-Seybold, Pearland , Insurance Verification Specialist I, Other , Pearland, Texas

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