Admissions- Insurance Verification

ADMISSIONS - INSURANCE VERIFICATION (Full‑Time)

Employer: Matagorda County Hospital District

Location: Main Hospital Campus, Bay City, Texas

Employment type: Full Time

Under the direction of the Admission Director, the Financial Counselor is responsible for contacting and following up with insurance companies and patient guarantors to pre‑admit and pre‑certify all scheduled and non‑scheduled inpatients and outpatients. They collect, screen, and secure self‑pay portions prior to admissions or while in‑house, answer business office financial questions, determine patient/guarantor financial responsibility, collect amounts owed to MCHD prior to outpatient testing, obtain satisfactory payment arrangements on unpaid amounts including deductibles & co‑pays, coordinate with physician’s office, pre‑admission representative, and the on‑site State worker, document insurance benefits, patient notifications, utilize the Recondo application and immediately follow up with unexpected patients regarding financial counseling, comply with HIPAA regulations, and prepare appeal letters for any denials.

• Contact and follow‑up with insurance companies and patient guarantors to pre‑admit and pre‑certify all scheduled and non‑scheduled inpatients and outpatients.
• Collect, screen, and secure self‑pay portions prior to admissions or while in‑house.
• Answer business office financial questions and determine patient/guarantor financial responsibility.
• Collect amounts owed to MCHD prior to outpatient testing.
• Obtain satisfactory payment arrangements on unpaid amounts owed, including deductibles & co‑pays.
• Coordinate with physician’s office, pre‑admission representative, and the on‑site State worker.
• Document insurance benefits, patient notifications; utilize the Recondo application and immediately follow up with unexpected patients regarding financial counseling.
• Comply with HIPAA regulations.
• Prepare appeal letters for any denials.

• High school graduate, some college or equivalent.
• Minimum one year basic clerical and insurance experience, preferably in a medical setting.
• Strong customer service skills.
• Knowledge of basic office equipment and CRT keyboard; 10‑key/CRT experience.
• Excellent communication skills, both oral and written, including legible writing.
• Good knowledge of alphabet and numbers.
• Good vision and hearing; able to sit for long periods of time.
• Preferred:
  Working knowledge of information required for insurance billing.