Senior Insurance Verifier

Houston Methodist

. Obtain and manage insurance authorizations for medical services, complex procedures and treatments, and complex insurance plans .

Posted 9/24/2026full-timeHouston • Texas • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing insurance authorizations and verification processes, with a strong understanding of Medicare, Medicaid, and managed care reimbursement methodologies. Capable of effective communication with patients and healthcare professionals while maintaining accurate documentation and records.

Highest-signal resume keywords

Insurance Authorization ManagementMedicare KnowledgeMedicaid KnowledgeCPT CodingICD-10 Coding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance VerificationAuthorization Process ManagementMedical TerminologyDocumentation StandardsRecord Keeping

Soft Skills

Effective CommunicationTask ManagementCollaborationProblem Solving

Industry Keywords

Managed CareInsurance RegulationsHealthcare AuthorizationPhysician Office Experience

About the role

Key responsibilities & impact

Obtain and manage insurance authorizations for medical services, complex procedures and treatments, and complex insurance plans
Obtain insurance verification as needed
Serve as a liaison among patients, facilities, physicians, and departments for timely and accurate authorization
Collaborate with internal and external stakeholders to resolve authorization challenges
Provide timely authorization-status updates
Initiate and manage authorization processes for medical services and simple procedures and treatments
Maintain accurate records of authorization requests and approvals
Document communications with insurers, healthcare professionals, and internal stakeholders
Gather documentation from healthcare providers for authorization requests
Respond to requests and maintain communication regarding authorization status and resolution
Follow documentation standards and make timely, accurate account notations
Maintain knowledge of insurance regulations, policies, and procedures
Verify proper insurance authorization before scheduled appointments
Organize workload, prioritize tasks, minimize incidental overtime, and support team members
Suggest process improvements and adapt to changing demands

Requirements

What you’ll need

High School diploma or equivalent education (including GED, homeschool equivalency verification, partial or full completion of post-secondary education, etc.)
Three years of experience working with insurance authorization, preferably in a physician office setting
Sufficient proficiency in speaking, reading, and writing English
Ability to communicate effectively with patients, physicians, family members, and co-workers
Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies
Ability to manage multiple tasks in a fast-paced environment
Mid-level medical terminology knowledge
Knowledge of insurance requirements for physician visits and procedures
Ability to flex hours and work/day assignments based on patient volumes
Working knowledge of CPT and ICD-10 coding conventions preferred
Ability to perform assigned job functions safely and meet ongoing skills, competency, and performance standards

Benefits

Comp & perks

Business professional attire permitted/required
Department-approved attire permitted
On-call coverage during emergencies
Potential travel within the Houston Metropolitan area