NETWORK INSURANCE VERIFIER
Methodist Willowbrook Hospital - Houston, TX

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The insurance verifier is responsible for verifying eligibility, benefits, and obtaining authorizations, and pre-cert for diagnostic tests, same day surgical cases, inpatient admissions and observations at Methodist Willowbrook, through automated eligibility systems, computer systems, fax machines, and heavy phone use. The insurance verifier will work closely with the business office, utilization review, and admissions.

High school diploma/GED required. Proficient in English, written and verbal. Basic computer skills required (Windows/keyboard). (Meditech preferred) One year of experience (2 years of insurance verification preferred) in health related industry with general medical terminology usage required. Knowledge of managed care insurance and their reimbursement guidelines combined with their authorization, and precertification requirements. Medical Terminology knowledge. Managed Care experience, with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
Knowledge of Managed Care deadlines and the ability to follow guidelines established in managed care contracts.

Houston Methodist - 22 months ago - save job
About this company
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Methodist Hospital provides care for Houstonians. The not-for-profit organization, also known as Methodist Hospital System, owns and...