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Job Posting Title:
Medical Insurance Verification SpecialistLocation:
Dallas - HospitalAdditional Posting Details:
Monday - Friday
8:00 a.m. - 4:30 p.m.
Job Description:
Responsibilities
Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to patients, families and co-workers
Perform all aspects of insurance verifications for the patients who are scheduled for Inpatient and Outpatient procedures and special radiology procedures
Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
Request and secure referrals from Primary Care Physicians and Insurance companies
Analyze benefits for appropriate coverage for services
Capable of calling families to verify their information and insurance coverage
Provide clerical and administrative support as required
Assist with updating and maintaining current billing systems/software
Create reports for tracking and trending purposes
Cross-train with other positions in Patient Access to provide coverage and understand overall functions of department
Responsible for all correspondence from Insurance companies
Education / Requirements:
High School diploma required
Knowledge of health insurance procedures
Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff
Self-starter with aptitude for following through on details and resolving discrepancies
Ability to read, write and speak English