Insurance Verifier

Houston Methodist

. Obtain and record patient eligibility and benefit information .

Posted 11/12/2026full-timeHouston • Texas • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in patient eligibility verification, financial clearance processes, and effective communication with diverse stakeholders. Possesses knowledge of insurance methodologies and electronic health record systems to ensure accurate patient information management.

Highest-signal resume keywords

Patient Eligibility VerificationInsurance VerificationElectronic Health Record SoftwareCPT and ICD-10 KnowledgeEffective Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient Liability CalculationAuthorization ManagementMedical TerminologyMicrosoft Office ProficiencyBenefit Documentation

Soft Skills

Organizational SkillsTeam SupportMultitasking AbilityConfidentiality MaintenanceEffective Communication

Tools & Technologies

EPICMicrosoft OutlookMicrosoft Word

Industry Keywords

MedicareMedicaidManaged Care ReimbursementHealthcare ExperienceHospital Setting

About the role

Key responsibilities & impact

Obtain and record patient eligibility and benefit information
Confirm authorizations and complete admission notifications as applicable
Calculate patient liability and generate estimates to determine patient financial responsibility
Communicate effectively with patients, co-workers, insurance companies, physicians, and other stakeholders
Serve as liaison between patients, facility, physicians, and department for timely and accurate financial clearance
Review and document benefits, patient liabilities, authorization/pre-certification requirements, notification requirements, and related information
Monitor and track authorizations, CPT codes, service locations, and expiration dates
Resolve patient access and quality service matters while maintaining confidentiality
Record eligibility, benefits, limitations, exclusions, and patient liability accurately in appropriate systems
Notify payers of patient admissions or procedures to ensure reimbursement
Organize priorities, minimize incidental overtime, and support team members during heavy workloads
Participate in department and system-wide projects and pursue continual development

Requirements

What you’ll need

High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
One year of healthcare experience including insurance verification, preferably in a hospital or clinic setting
Sufficient proficiency in speaking, reading, and writing the English language
Ability to effectively communicate with patients, physicians, family members and co-workers
Proficiency in Microsoft Office components such as Outlook and Word
Knowledge of electronic health record software; EPIC preferred
Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies
Ability to manage multiple tasks simultaneously
Mid-level medical terminology knowledge and knowledge of insurance requirements for physician visits and procedures
Ability to manage a fast-paced environment
Ability to flex hours and work/day assignments based on patient volume
Working knowledge of CPT and ICD-9 and/or ICD-10 preferred
Ability to safely perform assigned job duties and meet ongoing competency and performance requirements

Benefits

Comp & perks

Business professional attire required
May require travel within the Houston Metropolitan area
On-call during emergencies may be required regardless of selection