1000+ Best Sales & Marketing Jobs in Houston, TX (August 2025) - page 4

St. Josephs Medical Center

Pre-Registration Insurance Verifier

10 days ago

Houston

Job Description SUMMARY: This position is responsible for timely and accurate pre-registration, and upfront collection. The Pre-Registration Coordinator works to expedite the registration process on the date of service, provides a better means of obtaining correct patient information and informs patients of billing and payment policies. Estimate treatment cost to determine patient's portion of payment. Assist the patient in resolving any financial issues prior to service. Contacts patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to obtain missing demographic information, quote/collect patient cost share, and instruct patients when and where to present at time of appointment. Other duties as assigned. SHIFT DETAILS: • Service Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center., • Follows the St. Joseph Medical Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to present or detect unauthorized disclosure of Protected Health Information (PHI)., • Upholds the Standards of Conduct and Corporate Compliance., • People Consistently follows facility guidelines and procedures in performance., • Retrieve reservation/notification of scheduled service from scheduling and/or registration system/reports., • Perform pre-registration, deposit calculation, and telephone collection within 48 hours of receipts of reservation/notification for scheduled services and 48 hours prior to the date/time of the patient's appointment (when scheduled with 72 hours of appointment)., • Perform pre-registration., • When needed, payer websites and/or eligibility vendor to obtain real time eligibility and benefit detail printing and/or cut-in-pasting detail to ensure availability for revenue cycle reference., • Contacts patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to obtain missing demographic information, quote/collect patient cost share, and instruct patients when and where to present at time of appointment., • Utilizes registration system notes to document important information related to pre-registration, pre-certification, and upfront collection., • Follows system downtime procedures when necessary., • Assists in registering patients or admitting patients when needed., • Perform pre-registration, insurance verification, and pre-certification/authorization same day for unscheduled/walk in registration., • Follows insurance verification scripting to ensure the appropriate level of benefit and pre-certification/authorization detail is obtained., • Utilizes payer websites and/or eligibility vendor to obtain real time eligibility and benefit detail printing and/or cut-in-pasting detail to ensure availability for revenue cycle reference., • Contacts patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to obtain missing demographic information, quote/collect patient cost share, and instruct patients when and where to present at time of appointment., • Utilizes registration system notes to document important information related to verification pre-certification, and upfront collection., • Follows system downtime procedures when necessary., • Completes annual education requirements., • Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation, and prevention of medical errors in a non-punitive environment., • Research patient visit history to avoid account and/or medical record duplication and ensure compliance with Medicare Payment Window Rules., • Enhances patient experience by fostering a positive relationship with customers., • Promotes stewardship of hospital resources while ensuring quality patient care., • Calculates patient cost share and perform telephone collection prior to service in accordance with the upfront collection policy and procedure., • Meets/exceeds performance standards/productivity and upfront collection goals., • High School Diploma or GED required. 2-3 years of healthcare Insurance Verification experience required., • Basic computer knowledge., • Technical, critical thinking, and interpersonal skills relevant to area to effectively communicate with physicians, health team members, patients, and families., • Ability to prioritize work with minimal supervision, to independently perform the duties of the position., • Other certification requirements as defined by the certification policy. Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most. Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you with access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care. Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your healthcare journey, from diagnosis to treatment, with compassion every step of the way. Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.

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