Verification Specialist LeadWe’re looking for qualified Verification Specialist Lead like you to join our Texas Health family.Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011Work Hours: Full-Time: Monday – Friday from 8:00am to 4:30pm (Remote)Department Highlights:
The overall health and well-being of our team members is a high priority. Self-care is not only supported but highly encouraged.
Fun collaborative environment. Your voice will be heard!
We encourage growth in your career.
QualificationsHere’s What You Need:· High School Diploma or Equivalent is required.· 3 years in insurance verification, authorizations, and benefit estimates within a healthcare setting required.· Leadership skills preferred.· Exceptional customer service preferred.Skills:· Knowledge of third-party eligibility and clinical pre-authorization regulations and payer requirements.· Must be detail oriented and have strong organization and communication skills.· Proficient computer skills including ability to learn EMR system workflows, automated software tools, manage email inbox, and utilize Microsoft Office Suite, as needed.· Possess a strong work ethic and a high level of professionalism.· Demonstrate effective customer service and communication skills.· Must be a dependable self-starter and deadline driven. Must have ability to work well independently and in a team setting to meet organizational goals.· Must demonstrate solid understanding of key revenue cycle workflows, technical system, and metric goals.· Must hold self to high quality standards in all areas of Team Lead role to lead by example for less experienced team members.What You Will Do:Executes accurate and timely completion of estimates, patient insurance verification, benefit package review (including patient liability, in/out of network coverage, and subsequent insurance coverage), patient liability documentation, and next steps/actions in account notes.Updates patient account with coverage, guarantor, benefit, and demographic information accurately and consistently in EMR system. Resolves any issues with coverage and escalates complicated issues to manager.Contacts patients to confirm outstanding demographic, guarantor, or coverage information to secure all required data on patient accounts (if needed).Exhibits excellent customer service, courteous phone manner, and knowledgeable rapport when managing communication to/from patients (if needed).Reviews patient procedural information to obtain and/or verify timely completion of pre-authorization codes documented on patient accounts.Utilizes available tools to expedite and automate critical functions of patient account work including but not limited to: RTE eligibility software, payor websites, third party verification websites, payor phone lines, and auto-authorization tools.Maintains and/or owns account volumes within EMR work queues; demonstrates organization and priority awareness when completing or deferring account work.Manages appropriate communication (including account escalations) to and from outside departments including but not limited to: THPG clinics, scheduling departments, and referring departments.Sustains consistent levels of account productivity and quality based on department and role needs; escalates quality or productivity barriers to supervisor(s) in timely manner.Maintains full compliance with all organizational policies, procedures, and compliance regulations regarding operational processes, patient information privacy, and technical security.Participates in and completes all required employee trainings, including recurring and ad-hoc education sessions.Assist leadership in conducting follow-up on identified discrepancy and root cause analysis to prevent systematic recurrence of financial clearance, documentation, and quality issues.Serves as an operational and technical subject matter expert, providing direction to less experienced staff.Assists with training , auditing of work, and provides feedback to Team Supervisors on opportunities for improvement. Supports leadership in ensuring productivity goals, metric benchmarks, and quality standards are consistently met by all team members.Helps resolve more complex and/or escalated patient eligibility, benefit coverage, liability payment, and authorization inquiries and problems, handling follow-up questions from patients, and resolving user discrepancies or errors.Acts as a liaison to Team Supervisor to obtain necessary information and resolve process discrepancies or inefficiencies.Additional Perks of Being a Texas Health Employee:Benefits include 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make THR a great place to work.Texas Health Corporate Highlights:At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.Our award-winning culture is a tribute to our amazing employees. We’re thrilled to be a 2023 FORTUNE Magazine’s “100 Best Companies to Work For®” for the 9th year in a row!We strive to create an atmosphere of respect, integrity, compassion, and excellence for all. We’re committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic, and generational boundaries. Join us and do your life’s best work here!As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch, and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here!Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we’ve won and more.Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
