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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?
Insurance Verification Specialist I
Apply Here
Full Time
Ambulatory Healthcare Services
$39k-49k (estimate)
01/19/2023
11/03/2023
kelsey-seybold.com
PASADENA, TX
1,000 - 3,000
1949
MIKE FITZGERALD
$200M - $500M
Ambulatory Healthcare Services
Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. More than 480 physicians and allied health professionals practice at 25 locations in the Greater Houston area. Kelsey-Seybold offers quality medical care in 55 medical specialties. The organization operates the largest freestanding Ambulatory Surgery Center in the state of Texas and offers state-of-the-art Varian TrueBeam and Varian Edge radiation therapy technology at a nationally accredited Cancer Center. An accredited Sleep Center, comprehensive laboratory services, advanced imagin...g and diagnostics, 17 onsite Kelsey pharmacies, MyKelseyOnline (a secure web portal for patients to communicate with their Kelsey-Seybold doctors, get most test results, and schedule appointments), and Telemedicine Services E-visits and Video Visits with Kelsey-Seybold medical personnel are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for five consecutive years. Kelsey-Seybold has been recognized by the National Committee for Quality Assurance (NCQA) as the nations first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for excellence in diabetes and heart and stroke care by the NCQA. In addition to these recognitions, Kelsey-Seybold is home to a nationally accredited Breast Diagnostic Center, and Endoscopy Center.
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The job skills required for Insurance Verification Specialist I include Customer Service, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Verification Specialist I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Verification Specialist I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance Verification Specialist I positions, which can be used as a reference in future career path planning. As an Insurance Verification Specialist I, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Verification Specialist I. You can explore the career advancement for an Insurance Verification Specialist I below and select your interested title to get hiring information.