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Title:  Senior Manager, Insurance Verification

Division:  Patient Business Services
Schedule:  Monday-Friday; 8:00am-5:00pm
Work Location:  Greenway Plaza, Houston, TX
Salary Range:  $61,913-$77,175
FLSA Status:  Exempt
Requisition ID:  2361
Job Purpose

Manages the insurance verification process to ensure patients are financially cleared for their scheduled service.

Job Duties

 

  • Understands medical and reimbursement policies for all major payers.
  • Actively attends executive leadership meetings toward process improvements and revenue growth.
  • Interprets and conveys medical policies to the department leadership to assure payer requirements are met for specific high level procedures and surgeries.
  • Implements process and procedures with clinical departments to assure proper authorization of high level procedure and surgeries.
  • Collaborates with IT to create and implement Epic process design for efficient and timely processing of patient access to services.
  • Manages employee productivity through reporting and quality assurance.
  • Analyzes reports to assure successful reimbursement of services provided by Baylor Physicians.
  • Consistently meets Service Level Agreements with departments for financially clearing a patient.
  • Effectively maintains patient clearance rate between 94% to 98%.  

 

Minimum Qualifications
  • Bachelor's degree.
  • Five years of relevant experience.  Degrees in lieu of experience will not be accepted.
  • Must have previous Management experience in a medical environment. Infusion Insurance verification management a plus.

 

 

 

 

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

 2361

CA; CH