Houston Methodist

Houston Methodist

Sr. Insurance Verifier

HM Texas Medical Center - Outpatient Center · Senior

Sponsorship not specifiedDetected 22 days ago
Customer SupportEpicEHR/EMRICD-10ResearchCommunicationAdaptabilityMicrosoft Office

About the role

  • This position will also utilize effective communication skills in all interactions with patients, co-workers, insurance companies, physicians etc.
  • Assists other team members (e.g., registration, financial counseling) as directed by management.
  • Seeks management assistance appropriately. - Contributes to patient, employee, and physician satisfaction.

Requirements

  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • High School diploma or equivalent education (examples include:
  • GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

Skills

  • Proficiency in Microsoft office components (e.g., Outlook, Word) and knowledge of electronic health record software (EPIC preferred)
  • Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies
  • Ability to manage multiple tasks at one time
  • Understands medical terminology at a high level and has knowledge of insurance requirements for physician visits and procedures
  • Ability to manage a fast-paced environment
  • Ability to flex hours and work/day assignments to meet needs related to unanticipated patient volume
  • Ability to review clinical documentation for Medical Necessity and payer requirements
  • Working knowledge of CPT, International Classification of Diseases (ICD)-9 and/or ICD-10 preferred

Benefits

  • Two of Houston Methodist's primary academic affiliates are among the nation's leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital.
  • Assists with resolving electronic health record (EHR) work queues that support insurance verification.

Equal opportunity

  • Equal Opportunity Employer.

This listing is sourced directly from Houston Methodist's careers page and normalized into a canonical job model.