Eligibility & Benefits Representative

Surgery Partners, Inc•Lubbock, TX

2d•Onsite

About The Position

We are looking for a dedicated Eligibility & Benefits Representative to join our Lubbock Heart team. Lubbock Heart & Surgical Hospital specializes in the care of cardiac, orthopedic, nephrology, urology, and general medical patients. We are also a highly active inpatient center mainly centered on surgical procedures that include cardiothoracic, orthopedic, urology, and general surgery. We have a 24-hour Emergency Department with 5 fully equipped ED rooms, 4 fully operating OR rooms, 4 cardiac catherization labs with 1 electrophysiology room, 11-day surgery rooms, 58 acute care beds spread over three units, and 16 cardiac critical care rooms. We pride ourselves on giving the best overall care possible to our patients and on our family style atmosphere that includes everyone: patients and their families, physicians, and our employees.

Requirements

High School Diploma or GED.
2 years’ experience in a hospital setting.

Nice To Haves

Bilingual preferred.

Responsibilities

Performs all duties in accordance with established Patient Accounting Policies and Procedures.
Conducts himself/herself in a manner that is conducive in a professional office environment, including positive interactions, telephone professionalism, and adherence to company Dress Code Policy.
Enters data accurately on returned mail, insurance EOBs/Remittances and as discovered through regulatory agency notification, HIS reports, and/or other department notification.
Avoids negative trends associated in the quality/quantity of work.
On a daily basis ensures duties within the department are completed.
Demonstrates courteous customer service.
Ensures that patient access information is being captured during the initial registration/admission.
Prepare the monthly schedule for Admissions and ensures the prompt arrival/departure time and proper notification of employees’ absences/tardies.
Assists Director with other assigned duties/projects as requested.
Maintains a clean and safe work environment.
Maintains a working familiarity with Hospital wide safety plans and codes.
Participates in the day to day operations of the facility, including scheduling patients, taking payment over the phone, verifying insurance and eligibility; and answering any questions a patient might have.
Works directly with patients for the patient’s payment agreements.
Works with other physician’s offices to obtain insurance referrals and create Case Management cases as needed.
Point of Contact with VA for authorizations, appointment verification, and maintain log of all VA patients.
Responsible for checking on a patient’s eligibility and obtaining benefits as needed for local patients and those outside of the Lubbock metro area.
Responsible for Insurance Calls when patients dispute the charges.
Attends and participates in Business Office meetings and special hospital wide meetings in the absence of the Director.
Has the ability to add a new insurance to Centricity as needed.