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Insurance Verifier

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Insurance Verifier

The Woodlands, Texas Memorial Hermann Surgery Center Pinecroft, LLC (11206)
Category Business Office Job ID 71789-147
Status Full-Time/Regular
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Memorial Hermann Surgery Center Pinecroft, located in The Woodlands, Texas, is a modern outpatient facility dedicated to delivering high-quality surgical care across multiple specialties. As part of the Memorial Hermann Health System and United Surgical Partners International (USPI), we prioritize efficient, safe, and patient-centered care in a collaborative team environment.

We’re looking for a detail-oriented and proactive Insurance Verifier to join our front-end business operations team. This role is key to ensuring a smooth and positive patient experience by verifying insurance coverage and benefits ahead of scheduled procedures.

What You’ll Do:

  • Verify insurance eligibility, coverage, and benefits for upcoming procedures
  • Contact insurance companies to obtain authorizations and pre-certifications
  • Accurately enter and update patient insurance information in our system
  • Communicate with patients regarding their coverage details, deductibles, and estimated out-of-pocket costs
  • Collaborate with schedulers, front office staff, and clinical teams to quickly resolve insurance-related issues
  • Identify and escalate discrepancies or denials for resolution prior to surgery
  • Maintain thorough and organized documentation of all verification activities

Required Skills:
  • Strong attention to detail and accuracy
  • Excellent communication and customer service abilities
  • Proficiency with medical terminology and insurance processes
  • Ability to multitask and prioritize in a fast-paced environment
  • Comfort working with confidential information and following HIPAA guidelines

Required Experience:
  • High school diploma or equivalent required
  • 1–2 years of insurance verification or medical billing experience preferred
  • Experience in a surgical or ambulatory care setting is a plus
  • Familiarity with commercial insurance, Medicare, and Medicaid
  • Basic computer skills and experience with EMR or practice management software
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