Insurance Verification Rep

Under general supervision, Insurance Verification Representative is responsible for verifying patient’s insurance information and obtains authorization prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. Responsible for interpreting coverage limitations, patient versus insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions. Work closely with physicians, patients, and other healthcare staffs to ensure authorizations cover the services needed and that correct information is obtained.

• High School Diploma or GED required
• Thorough understanding of insurance payor reimbursement, collection practices, and accounts receivable follow-up required.
• Broad knowledge of the content, intent and application of HIPAA, federal and state regulations.
• Understanding of insurance payor reimbursement and collection practices.
• Knowledge of the insurance industry and basic medical terminology/abbreviations preferred. 
• Understands health insurance and medical costs, including coding.
• Requires good customer skills.
• Good communication skills.
• Proficient computer skills.
• Possess a strong work ethic and a high level of professionalism.

St. Luke’s Health–Brazosport Hospital is located on a beautiful, 25-acre campus in Lake Jackson, Texas. Offering state-of-the-art diagnostic and comprehensive treatment services, our hospital is home to a 154-bed patient tower, level III trauma center, advanced cardiac care center, and full-service, multidisciplinary cancer center. Our team consists of over 100 board-certified physicians and nearly 600 highly skilled employees to meet our patients’ medical needs. South Brazoria County’s premier healthcare system, St. Luke’s Health–Brazosport Hospital is dedicated to providing quality care with compassion for the communities we serve.