Insurance Verification Specialist - Kelsey Seybold Clinic: Pearland

Explore Opportunities With Kelsey-Seybold Clinic

Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together.

Insurance Verification Specialist

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.

Primary responsibilities include:

• 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.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required qualifications:

• High School diploma or GED from an accredited program.
• 1+ years of experience 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.
• MS Office, Computer skills, Internet. Must demonstrate fast and accurate computer and typing skills.
• 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 qualifications:

• 2+ years of experience in medical office environment handling insurance verification with knowledge of wide range of products.
• Kelsey-Seybold experience.
• Epic Experience.
• Knowledge of insurance concepts and theory.
• High PC proficiency.
• Proven excellent communication skills.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.