Insurance Verification Representative in Houston at Parallon

Date Posted: 8/12/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Houston
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/12/2019

Job Description

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Insurance Verification department. Submit your application today!


Our employees come first. We provide a total compensation package to make sure your needs are met. Choose the medical coverage package that best suits you. Look after your loved ones while still getting paid with our Paid Family Leave. Plan for your future with our matching 401k or opt-in for several other benefits including tuition assistance, student loan repayment, family and medical flex spending accounts, life insurance, and identity theft protection.






Our Insurance Verification teams are a committed, caring group of colleagues. We have a passion for creating positive patient interactions. If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!


As an Insurance Verification Representative, you will be responsible for timely and accurate insurance verification as well as accurately interpreting managed care contracts. This is a full-time work from home position. It is required that you live in the Pensacola area.


WHAT YOU WILL DO IN THIS ROLE?

  • Conducts Insurance verification process within 24 hours of receipt of reservation/notification for both inpatient and outpatient services.
  • Follows scripted benefits verification format in appropriate systems custom benefits screen and record benefits.
  • Contacts physician to resolve issues regarding prior authorization or referral forms.
  • Perform electronic eligibility confirmation when applicable and document results.
  • Researches Patient Visit History to ensure compliance with the Medicare 72 hour rule.
  • Completes Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module.
  • Performs insurance verification and account status changes by assigned facility.
  • Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues.
  • Utilizes system account notes and Collections System account notes as appropriate to cut-n-paste benefit and pre-authorization information and to document key information.
  • Perform Insurance Verification activities based on production quotas.  Fully capable of meeting quotas.

Job Requirements

  • Minimum of one year working in an insurance setting.


Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.

Be a part of an organization that invests in you. We are actively reviewing applications. Highly qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application and help us raise the bar in patient care.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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