Healthcare Service Representative – Patient Access Center – Kelsey Seybold Clinic – Remote

Responsibilities

The primary function of the insurance verification specialist is to contact health plan carriers to obtain eligibility information, ensuring that the most accurate up‑to‑date information is verified and entered into the patient’s account. Assist patients in understanding their insurance coverage and financial responsibilities. Coordinate payment for all scheduled/elective services required according to payer specifications prior to services rendered. Collect payments, discuss payment arrangements as appropriate, create estimates, advise patients in person and over the phone on their insurance benefits and coverages, and in some cases assess and validate physician orders for appropriateness.

Provide excellent customer service to patients regarding insurance inquiries. Manage any insurance‑related queries from internal and external stakeholders. Prepare reports on insurance verification activities and outcomes for management review. Problem‑solve insurance errors and research insurance requirements. Gather all relevant information required to process financial assistance requests. Document all communication and follow‑up in the EMR. Pursue and participate in education opportunities to remain current with payer changes in the healthcare industry.

• Minimum two years of experience in hospital admissions or billing setting preferred.
• Well versed in authorization processes for all payers.
• Knowledge of medical terminology and insurance policies.
• Excellent organization and time management skills, along with excellent oral and written communication skills.
• Ability to learn quickly, work independently and collaboratively within a team environment.
• Ability to maintain good working relationships.
• Demonstrates attention to detail and ability to multitask.
• Ability to work in a demanding environment.
• Problem‑solving skills.
• Proficient computer skills.
• High School Graduate or GED Equivalent required.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.

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