The Woodlands, TX, USA
3 days ago
Insurance Verification Rep - Clinic

Job Summary and Responsibilities

As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience.

Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care.

To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.

Ensure insurance coverage by telephone.Resolve any issues with coverage and escalates complicated issues to manager.Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.Coordinate with clinical staff to obtain charge information for all patients.Code procedures performed and diagnosis on charge.Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
Job Requirements

Required

High School Diploma/GED required

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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