AUTHORIZATION & VERIFICATION SPECIALIST (ON-SITE) - BILLING
About The Position
Northwest Specialty Hospital is seeking a detail oriented; customer service focused Authorization & Verification Specialist to join our team! The Authorization & Verification Specialist is responsible for assuring that surgical cases are scheduled and verifying patient insurance. This position is responsible for assuring that clerical duties are accurately performed in completion of, but not limited to, the following areas: calling all primary and secondary insurance for verification of benefits for deductibles; in and out of network benefits including copays; notifying front desk and necessary staff members of non-reimbursable benefits; telephone backup and transferring of all calls; smooth transitioning of patients through the services they require; ensure that copies of appropriate documentation are obtained to facilitate the billing and collections process; ensure that co-payments and payments on patients accounts are taken, accounted for and processed accurately; backup for completing a daily log of patient payments collected as needed; ensure that all information entered into the automated admitting/registration system is accurate and complete; prepare preregistration packets for all patients; update medical records for return patients as needed; help with closing procedures. Works under stress and is able to work under pressure and in situations that demand patience, tact, stamina and endurance.
Requirements
- High school diploma is required; bachelor's degree in related field is preferred
- Must be able to achieve CPR certification within 60 days of employment
- Ability to relate and work effectively with others
- Demonstrated skills in verbal, written English, and public speaking ability
- Willingness to participate in goal-setting and educational activities for own professional advancement and that of others
- Demonstrated computer skills in utilizing word processing, integrated databases, and other computer functions
- Previous experience with healthcare scheduling and insurance knowledge is required
Responsibilities
- assuring that surgical cases are scheduled
- verifying patient insurance
- calling all primary and secondary insurance for verification of benefits for deductibles
- in and out of network benefits including copays
- notifying front desk and necessary staff members of non-reimbursable benefits
- telephone backup and transferring of all calls
- smooth transitioning of patients through the services they require
- ensure that copies of appropriate documentation are obtained to facilitate the billing and collections process
- ensure that co-payments and payments on patients accounts are taken, accounted for and processed accurately
- backup for completing a daily log of patient payments collected as needed
- ensure that all information entered into the automated admitting/registration system is accurate and complete
- prepare preregistration packets for all patients
- update medical records for return patients as needed
- help with closing procedures
Benefits
- Company-sponsored events such as sporting events, BBQs, and holiday parties
- Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance (for benefit-eligible positions)
- Tuition reimbursement
- Growth opportunities, ongoing education, training, leadership courses
- A generous 401K retirement plan
- A variety of discounts throughout the hospital and community are available to employees
- Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships
- Culture that promotes and supports work/life balance
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
