Insurance Verification Specialist

Memorial Hermann Surgery Center Main Street is seeking an organized and detail-oriented Insurance Verification Specialist to join our team. This role plays a vital part in ensuring accurate and timely verification of patient insurance coverage, helping our patients have a smooth experience from the very start of their care.

Responsibilities:

• Verify insurance eligibility, benefits, and coverage for scheduled procedures using payer portals, telephone calls, and electronic verification systems.
• Confirm patient demographics, insurance information, and procedure details to ensure claim accuracy.
• Calculate patient financial responsibility, including co-pays, deductibles, and coinsurance amounts, and communicate this information to patients.
• Obtain necessary authorizations, pre-certifications, and referrals prior to procedures.
• Document all verification activities in the electronic medical record (EMR) system according to center policies.
• Collaborate with scheduling, billing, and clinical teams to resolve insurance-related issues quickly.
• Maintain up-to-date knowledge of payer guidelines and policy changes.
• Provide excellent customer service by addressing patient inquiries in a professional and empathetic manner.

Qualifications:

• High school diploma or equivalent required; associate degree or related coursework preferred.
• Minimum 1–2 years of experience in insurance verification, medical billing, or a related healthcare administrative role.
• Experience in an ambulatory surgery center (ASC) or hospital setting preferred.
• Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans.

What We Offer:

• Medical, dental, and vision insurance
• Life and disability coverage
• 401(k) retirement plan with company match
• Paid time off (PTO) and holiday pay
• Flexible spending accounts (FSA)
• Employee assistance program (EAP)
• Career growth and development opportunities

Who We Are:
Memorial Hermann Surgery Center Main Street is a proud partner of United Surgical Partners International (USPI), the largest ambulatory surgery provider in the country. We are committed to providing high-quality, cost-effective surgical services in a safe and caring environment. Our team works together to ensure our patients receive the best care possible — before, during, and after their procedures.

• Strong attention to detail with the ability to work accurately in a fast-paced environment.
• Excellent communication and interpersonal skills for interacting with patients, insurance companies, and internal teams.
• Proficiency with EMR systems, insurance portals, and Microsoft Office Suite.
• Ability to multitask and manage competing priorities effectively.
• Solid understanding of medical terminology, CPT, ICD-10 coding, and insurance processes.

• Minimum of one (1) year of insurance verification experience in a healthcare environment.
• Prior experience working with commercial insurance, Medicare, Medicaid, and managed care plans.
• Background in an ambulatory surgery center (ASC) or hospital preferred.