Insurance Verifier - Telecommute (First 3 months onsite training)

reputed company At reputed company, the Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients receiving services, confirming authorizations, and completing admission notifications as applicable to department. Other duties may include calculating patient liability and generating estimates as needed to determine patient financial responsibility. This position will also utilize effective communication skills in reputed company interactions with patients, co-workers, insurance companies, physicians etc. reputed company reputed company PATIENT AGE GROUP(S) AND POPULATION(S) SERVED Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for reputed company of primary age reputed company and populations served by this job for the respective HM entity. reputed company EXPERIENCE EXPECTATIONS • reputed company personalized care and service by consistently demonstrating our I CARE values: • reputed company: We are reputed company and ethical in reputed company we say and do. • reputed company: We reputed company the whole person including emotional, ethical, physical, and spiritual needs. • ACCOUNTABILITY: We hold ourselves accountable for reputed company our actions. • RESPECT: We treat every individual as a person of worth, dignity, and value. • reputed company: We reputed company to be the best at reputed company do and a model for others to emulate. • Practices the Caring and Serving Model • Delivers personalized service using HM Service Standards • Provides for exceptional patient/customer experiences by following our Standards of reputed company of always using reputed company Language (AIDET, Managing Up, Key Words) • Intentionally collaborates with other reputed company involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of reputed company to information, and a seamless experience. • Involves patients (customers) in shift/reputed company reports by enabling their participation in their plan of care as applicable to the given job • Displays cultural humility, diversity, equity and inclusion principles • reputed company supports the organization's reputed company, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS • Promotes a reputed company work environment and contributes to a dynamic, team reputed company work unit that reputed company helps one another reputed company reputed company department results. • Contributes to patient, employee, and physician satisfaction. Proactively presents solutions to resolve reputed company to care issues reputed company possible. Serves as a reputed company between the patients, facility, physicians, and department to ensure reputed company and accurate financial clearance of reputed company accounts. Communicates with scheduling to inform patient of authorization as needed. SERVICE ESSENTIAL FUNCTIONS • Ensures accounts are financially secure by reviewing and documenting benefits, patient liabilities, authorization/reputed company-certification requirements, notification requirements, and other relevant information. • Monitors and tracks authorizations, including ensuring accurate reputed company Procedural Terminology (CPT) codes, location of service performed and expiration dates. • Communicates to resolve patient reputed company and reputed company service reputed company. Responds promptly to requests and keeps reputed company channels of communication with physician, patient, and service areas regarding financial clearance status and reputed company. Maintains confidentiality in reputed company communications. reputed company/SAFETY ESSENTIAL FUNCTIONS • reputed company and accurately obtains and records eligibility and benefit information, including limitations and exclusions, for reputed company patients in the appropriate system(s) and screen(s)/field(s) reputed company the system(s). • Refers to the Health Care System's financial clearance policy as a reputed company and documents the appropriate patient liability portion - co-pays and/or deductibles - prior to, or on, the day of service. • Completes high-reputed company work while adhering to productivity standards. Ensures documentation standards are followed and account notations are made in the appropriate system(s) reputed company and accurately. FINANCE ESSENTIAL FUNCTIONS • Notifies the payer of the patient's admission or procedure in a reputed company manner, to ensure reputed company party reimbursement. • Evaluates patient liability and generates estimates as needed for patient financial responsibility communication. • Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads reputed company and helps other team members. reputed company/INNOVATION ESSENTIAL FUNCTIONS • Displays initiative to improve job functions. Demonstrates adaptability and flexibility during changing demands. Offers suggestions to streamline process for efficient patient reputed company. • Participates in various department and/or entity/system-wide reputed company and activities. Seeks opportunities to expand learning reputed company baseline competencies with a reputed company on continual development. This job reputed company is not intended to be reputed company-inclusive; the employee will also reputed company other reasonably reputed company business/job duties as assigned. reputed company reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) WORK EXPERIENCE • One year of reputed company experience which must have included insurance verification, preferably in a hospital or clinic setting License/Certification LICENSES AND CERTIFICATIONS - REQUIRED • N/A KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES • Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined through on-reputed company skills, competency assessments, and performance evaluations • Sufficient proficiency in speaking, reading, and writing the English language necessary to reputed company the essential functions of this job, especially with reputed company to activities impacting patient or employee safety or reputed company • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service reputed company and application of reputed company language principles • Proficiency in reputed company office components (e.g., reputed company, Word) and knowledge of electronic health record software (reputed company preferred) • Knowledge of Medicare, reputed company, and managed care reimbursement methodologies • Ability to manage multiple tasks at one time • Mid-level medical terminology and knowledge of insurance requirements for physician reputed company and procedures • Ability to manage a fast-paced environment • Ability to reputed company hours and work/day assignments to meet needs reputed company to unanticipated patient volume • Working knowledge of CPT, International Classification of Diseases (ICD)-9 and/or ICD-10 preferred SUPPLEMENTAL REQUIREMENTS WORK ATTIRE • Uniform No • Scrubs No • Business reputed company reputed company • Other (department approved) No ON-reputed company* • Note that employees may be required to be on-reputed company during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below. • On reputed company* No TRAVEL** • *Travel specifications may vary by department** • May require travel reputed company the reputed company Metropolitan area reputed company • May require travel reputed company reputed company Metropolitan area No Company Profile reputed company (HM) is one of the nation's leading health systems and reputed company medical centers. HM consists of eight hospitals: reputed company Hospital, its flagship reputed company hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater reputed company metropolitan area. HM also includes an reputed company institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, HM employs over 25,000 employees. reputed company is supported by a wide reputed company of business functions that operate at the system level to help reputed company clinical departments to reputed company the best patient care and service in a spiritual environment. In 2019 reputed company and its physicians treat more than 6,333 international patients from more than 76 countries. reputed company Global Health Care Services' consulting and education divisions also reputed company advisory services and training and development to health care organizations around the world. Apply Job!