• Insurance Verification Specialist

    Job Location US-TX-The Woodlands
    Posted Date 3 weeks ago(10/22/2019 1:41 PM)
    Emerus Holdings Inc
    Shift Type
  • About Us

    Emerus, the nation’s first and largest operator of micro-hospitals, has incorporated a new paradigm into patient care that has significantly improved access to health care for thousands of people, many of whom live in underserved areas where high-quality patient-centric acute episodic and ambulatory clinical services are needed most. Focusing on excellence, empathy and innovation, Emerus hospitals are organized around the patient and family. This concept allows Emerus and its partners to work with patients while they are healthy to keep them healthy, providing a level of compassionate care and support typically not found at larger hospitals, free-standing emergency rooms or urgent care centers. Emerus works with leading health systems across the nation, including Dignity Health, Baptist Health, The Hospitals of Providence, Alleghany Health Network, INTEGRIS and Baylor Scott & White Health, to put more care and best-in-class provider services into the communities they serve.  The Emerus corporate office is based in The Woodlands, Texas, north of the thriving metropolis of Houston. More information is available at emerus.com.

    Position Overview

    The purpose of this position is to complete eligibility and benefit verification to ensure the timely and accurate submission of claims (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company.

    Essential Job Functions

    • Complete daily eligibility and benefit verification for all facilities utilizing best practice processes
    • Document benefits on the patient account for use by other team members
    • After eligibility completion, prepare accounts for billing
    • Review and correct all claim rejections regarding eligibility
    • Review exception and discharge not final bill reports for outstanding MVA and WC information
    • Complete verification of insurance as patients provide updates to Customer Service or via mail
    • Follow-up and investigate any billing errors returned from payers.  Work with respective team members/supervisors for resolution.
    • Review and update demographic/guarantor/insurance data obtained in the registration process as necessary
    • Additional billing type functions as assigned

    Basic Qualifications

    • High School Diploma or GED, required
    • Two years insurance verification experience, required
    • Expert knowledge of various payers and payer insurance cards, required
    • Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
    • Position requires fluency in English; written and oral communication


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