Sr Insurance Verification Rep
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its two hospitals: Ben Taub and LBJ.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its hospitals — Ben Taub and Lyndon B. Johnson — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
Skills / Requirements
Verifies all third party information with carriers, employers, and review agencies. Updates all benefits in A/R to ensure appropriate billing and reimbursement for services. Verifies all Third Party coverages. Obtains all authorizations, pre-certifications and referral specifics and updates account. Pre-registers patient for scheduled appointment by collecting patient demographic, employer, and insurance information (informing patient of what to bring on DOS and patient responsible amounts).
Education/Specialized Training/Licensure: High School Diploma or GED
Work Experience: 3 years hospital/physician office/insurance related knowledge
Equipment Operated: CRT, PC, Facsimile, photocopier, FSS system knowledge, Medifax
Above Average Verbal (Heavy Public Contract)
Writing /Composing - (Correspondence/Reports)
Mathematics, P.C., Typing (wpm 25) Word Proc
Work Schedule: Flexible
Other Requirements: Must be able to interact successfully in a culturally diverse environment.