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The Insurance Verification Specialist is responsible for verification of eligibility, insurance benefits, authorizations, pre-certification and payments of patients for all OBMC locations. The Insurance Verification Specialist is required to contact patients by phone to discuss total amount due to hospital for services rendered, setup payment arrangements, create estimates for portion due at time of service and assist patients with insurance plans that are complex. Must have insurance/benefits and authorization expertise, analytical thinking skills, communication and writing skills, attention to details, multitask, background knowledge with insurance plans, knowledge with payer websites and policies/procedures, basic Microsoft and Excel experience and ability to key data entry timely and efficient.
This positions first and foremost responsibility is to protect the financial integrity of OakBend Medical Center. There are multiple locations within OakBend Medical Center requiring Insurance Verification Specialist services (i.e., Jackson St, Williams Way, New Territory, Wharton, Elite Travis, River Oak, Metro and Grand Parkway). While the day to day duties vary, the primary responsibility is maximizing reimbursement and obtaining authorizations for all required services rendered. The Insurance Verification Specialist must ensure that each account has complete benefit verifications, appropriate authorizations, and that all out-of-pocket expenses are explained to our patients and financial arrangements made and are followed through per current procedures including uninsured patients. Protect the financial health of OakBend Medical Center and providing exemplary customer service to our internal and external customers.
Qualifications:MINIMUM EDUCATION
High school diploma or GED; relevant experience in lieu of High School Diploma/GED education will be considered.
MINIMUM WORK EXPERIENCE
At least one year of Insurance Verification experience required
REQUIRED LICENSES/CERTIFICATIONS
None.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES
Excellent interpersonal skills required. Typing of 35 wpm.
WORK SCHEDULE
Normally scheduled Monday through Friday; however additional hours may be required due to increase in workload, assignment and completion of special projects. Must be flexible if required to work long or irregular hours. Some weekends/holidays may be required. Hours may fluctuate due to volume.
Full Time
$39k-49k (estimate)
04/25/2024
05/11/2024
oakbendmedcenter.org
RICHMOND, TX
500 - 1,000
1950
Private
$200M - $500M
Hospital
OakBend Medical Center owns and operates a healthcare facility that offers cardiology, cardiopulmonary, rehabilitation and surgical services.