Insurance Verifier

Memorial Hermann Surgery Center Pinecroft, located in The Woodlands, Texas, is a modern outpatient facility dedicated to delivering high-quality surgical care across multiple specialties. As part of the Memorial Hermann Health System and United Surgical Partners International (USPI), we prioritize efficient, safe, and patient-centered care in a collaborative team environment.

We’re looking for a detail-oriented and proactive Insurance Verifier to join our front-end business operations team. This role is key to ensuring a smooth and positive patient experience by verifying insurance coverage and benefits ahead of scheduled procedures.

What You’ll Do:

• Verify insurance eligibility, coverage, and benefits for upcoming procedures
• Contact insurance companies to obtain authorizations and pre-certifications
• Accurately enter and update patient insurance information in our system
• Communicate with patients regarding their coverage details, deductibles, and estimated out-of-pocket costs
• Collaborate with schedulers, front office staff, and clinical teams to quickly resolve insurance-related issues
• Identify and escalate discrepancies or denials for resolution prior to surgery
• Maintain thorough and organized documentation of all verification activities

• Strong attention to detail and accuracy
• Excellent communication and customer service abilities
• Proficiency with medical terminology and insurance processes
• Ability to multitask and prioritize in a fast-paced environment
• Comfort working with confidential information and following HIPAA guidelines

• High school diploma or equivalent required
• 1–2 years of insurance verification or medical billing experience preferred
• Experience in a surgical or ambulatory care setting is a plus
• Familiarity with commercial insurance, Medicare, and Medicaid
• Basic computer skills and experience with EMR or practice management software