Baylor Scott & White Medical Center – Uptown is a joint venture surgical hospital between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and local physicians. Baylor Scott & White Medical Center- Uptown provides a wide range of medical and surgical services to the greater North Texas area across 8 ORs, 24 private Inpatient rooms, a full-service ED. The hospital specializes in both inpatient and outpatient procedures in Orthopedics, Joint Replacement, Spine, General, Bariatrics, Surgical Oncology, ENT, Reconstructive Surgery, and other surgical specialties.

The Insurance Verification Specialist must retrieve demographic information from schedule posting and enters the information in database. Communicates with physician offices to obtain the most current and updated information. Verifies patient insurance coverage via phone/or online for surgery procedures. Determines if referrals or authorizations are required for specified procedures. Determines if referrals or authorizations are required for specified procedures. Calculates patient estimate, co-pay amounts and notifies patient prior to the date of service. Offers facility payment options to patients when applicable. Strong knowledge of Managed Care contracts. Strong knowledge of Government and State medical plans. Ability to work as a team player in a fast-paced environment.

Required Skills

• High school graduate or equivalent.
• Two years of previous experience required.
• Must have the skills necessary to operate the office equipment required to fulfill job duties.
• Medical terminology and computer experience required.
• Good communication skills and interpersonal relation skills.
• Must use independent judgment and adapt quickly to changing circumstances.
• Requires good time management skills.

Required Experience

• High school diploma or GED
• Previous billing experience preferred
• Familiarity with medical terminology
• Verifying insurance coverage of each patient
• Handling payments for services not covered by insurance
• Explaining coverages to patients
• Obtaining referrals for patients when they are not covered
• Updating patient information/keeping records
• Filling out documentation required for billing