The Insurance Verification Specialist is responsible for verification of eligibility, insurance benefits, authorizations, pre-certification and payments of patients for all OBMC locations. The Insurance Verification Specialist is required to contact patients by phone to discuss total amount due to hospital for services rendered, setup payment arrangements, create estimates for portion due at time of service and assist patients with insurance plans that are complex. Must have insurance/benefits and authorization expertise, analytical thinking skills, communication and writing skills, attention to details, multitask, background knowledge with insurance plans, knowledge with payer websites and policies/procedures, basic Microsoft and Excel experience and ability to key data entry timely and efficient.
This position’s first and foremost responsibility is to protect the financial integrity of OakBend Medical Center. There are multiple locations within OakBend Medical Center requiring Insurance Verification Specialist services (i.e., Jackson St, Williams Way, New Territory, Wharton, Elite Travis, River Oak, Metro and Grand Parkway). While the day to day duties vary, the primary responsibility is maximizing reimbursement and obtaining authorizations for all required services rendered. The Insurance Verification Specialist must ensure that each account has complete benefit verifications, appropriate authorizations, and that all out-of-pocket expenses are explained to our patients and financial arrangements made and are followed through per current procedures including uninsured patients. Protect the financial health of OakBend Medical Center and providing exemplary customer service to our internal and external customers.
QualificationsMINIMUM EDUCATION
High school diploma or GED; relevant experience in lieu of High School Diploma/GED education will be considered.
MINIMUM WORK EXPERIENCE
At least one year of Insurance Verification experience required
REQUIRED LICENSES/CERTIFICATIONS
None.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES
Excellent interpersonal skills required. Typing of 35 wpm.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend’s services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
Skills Required
- High school diploma or GED, or relevant experience in lieu of the diploma/GED
- At least one year of insurance verification experience
- Excellent interpersonal skills
- Typing speed of 35 words per minute
- Insurance and benefits verification expertise
- Authorization and pre-certification expertise
- Knowledge of insurance plans, payer websites, and related policies and procedures
- Basic Microsoft Excel experience
- Analytical thinking, communication, writing, attention to detail, multitasking, and timely data-entry skills
- Required licenses or certifications
What We Do
OakBend Medical Center is an independent, nonprofit hospital serving Fort Bend County, Wharton County, and surrounding communities in Texas. It provides primary and specialty care, emergency services, inpatient and outpatient surgery, hospitalization, imaging, laboratory, wound care, cardiopulmonary services, and other advanced medical programs. Its mission is to deliver exceptional, compassionate healthcare to the community regardless of patients’ ability to pay.
