AUTHORIZATION & VERIFICATION SPECIALIST (ON-SITE) - BILLING

Surgery Partners Careers • Post Falls, ID

8d • Onsite

About The Position

Northwest Specialty Hospital is seeking a detail-oriented, customer service-focused Authorization & Verification Specialist to join their team. This role is responsible for assuring that surgical cases are scheduled and verifying patient insurance. The specialist will perform clerical duties related to calling primary and secondary insurance for benefit verification (deductibles, in-network/out-of-network benefits, copays), notifying relevant staff of non-reimbursable benefits, providing telephone backup, and ensuring smooth patient transitions. The position also involves obtaining necessary documentation for billing and collections, accurately processing copayments and patient account payments, maintaining a daily log of collected payments, ensuring accuracy of information in the automated admitting/registration system, preparing preregistration packets, updating medical records for returning patients, and assisting with closing procedures. The role requires working under stress and pressure, demonstrating patience, tact, stamina, and endurance.

Requirements

• High school diploma is required
• 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

Nice To Haves

• Bachelor’s degree in related field is preferred

Responsibilities

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED