Patient Insurance Specialist II

Summary

Patient Business Services is seeking a Patient Insurance Specialist II to financially clear patients for upcoming scheduled services.

Job Duties

• Investigates and verifies insurance coverage and eligibility for scheduled services.
• Creates and collects patient out of pocket estimates.
• Financially clears office visits that may involve minor procedures for specialist services.
• Contacts external PCP offices to initiate and secure insurance PCP referral approvals for Baylor specialists.
• Obtains insurance PCP referral approvals on behalf of Baylor PCPs. 
• Answers Insurance Verification Helpline calls and emails to resolve insurance questions from patients and clinical departments.
• Corresponds with insurance companies to review denied services and provides recourse for payment.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• One year of relevant experience.

Preferred Qualifications

• Pre-service verification experience.
• Multi-specialty insurance verification experience.
• Epic experience.
• Efficient high-volume productivity.