Summary

This position is part of Baylor College of Medicines insurance verification department. Our goal is to provide great customer service during interaction with patients, providers, Baylor staff, insurance companies and anyone else while performing all job duties.

The ideal candidate must be able to prioritize workload in order to meet productivity standards, as well as support departmental goals by assisting with additional duties or special projects as assigned, contributing to the continuous improvement of workflow.

This position is remote within Greater Houston, but reporting to our Greenway location may be required.

Job Duties

• Obtains benefits and verifies insurance authorizations for medical procedures, treatments, and services in a timely and efficient manner to prevent delays in patient care.
• Confirms provider’s participation status with patient’s insurance plan/network.
• Interperets patient benefits to include deductibles, copayments, and coinsurance.
• Assists patients in understanding their insurance benefits and coverage limitations.
• Contacts and follows through with patient and PCP to secure payer required referral for planned services.
• Provides financial information to patients obtained during the verification process by financial clearance staff, including cost estimates, payment plans, and discounts.
• Answers in-bound calls and addresses e-mails from patients, physicians, and departments in a timely manner.
• Reliably routes patients to the appropriate destination with warm transfers whenever possible.
• Reviews, update, and maintain accurate demographic and insurance data in the EMR system.
• Maintains accurate and complete documentation of all inquiries.
• Proactively communicates with leadership regarding identified potential issues and concerns.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Two years of relevant experience.

Preferred Qualifications

• Multi-specialty insurance verification experience.
• Prior authorization experience.
• Experience in an outpatient clinic.
• Experience with Epic.