Insurance Verification Specialist 1- Referral Processing (Hybrid - Dallas)

About Us Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott & White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Core Values We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar‑for‑dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The Insurance Verification Specialist 1, under general supervision, provides insurance benefit information to patients, physicians, and hospital staff. This position ensures timely insurance verification and financial clearance. This directly impacts the organization's reimbursement from payers for both scheduled and unscheduled patient accounts. Essential Functions of the Role Perform financial clearance of patient accounts by verifying insurance eligibility and benefits; ensure all notifications and authorizations are completed on time. Complete appropriate payor forms related to notification and authorization. Coordinate the submission of clinical documentation from physicians to payers for authorization needs. Calculate accurate patient financial responsibility. Communicate promptly with Utilization Review; collaborate effectively with the physician and facility staff; ensure financial clearance of the patient's account before any service during the hospital stay. Interpret complex payer coverage information, including network participation status, limited plan coverage, and inactive benefits. Document systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement. Key Success Factors 1 year of healthcare or customer service experience preferred. Consistently meet performance standards of production, accuracy, completeness, and quality. Ability to understand and adhere to payer guidelines by plan and service type. Good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette. Maintain a professional demeanor in stressful and emotional environments; handle behavioral health and suffering patients, including life or death situations. Exhibit high empathy and communicate well with patients and families during traumatic events; demonstrate exceptional customer service skills. Manage multiple, changing priorities in an effective and organized manner. Excellent data entry, numeric, typing, and computer navigational skills; basic computer skills and Microsoft Office. Belonging Statement We believe that all people should feel welcomed, valued and supported. Qualifications

EDUCATION

H.S. Diploma/GED Equivalent

EXPERIENCE

1 Year of Experience #J-18808-Ljbffr NACBA