Insurance Verifier

Surgery Partners, Inc•Franklin, TN

2d•Onsite

About The Position

The Insurance Verifier will possess excellent written and verbal skills and will be in communication with physicians' offices and patients. Responsibilities will include the verification of benefits and coverages of insurance plans specific to the patient with the ability to calculate an estimated responsibility. Contact will be made with patients to make payment arrangements for upcoming procedures. The Verifier will also work closely with other members of the facility in order to source the most accurate information available for all cases to be worked. The Insurance Verifier associate is responsible for entering, correcting, and verifying all patient demographics and financial billing information in the practice management system and patient record. The role requires the ability to communicate effectively with insurance payors, Center's staff, physicians and their staff, patients and their families. The candidate must be able to verify insurance in a timely manner and handle frequent interruptions that result in having to re-evaluate priorities. Keyboarding, medical terminology, and attention to detail are essential.

Requirements

High School graduate
Minimum of one year of experience in business office activities within a healthcare environment
Ability to relate and work effectively with others
Demonstrated verbal and written communications in English for contacting payors, patients, and co-workers
Demonstrated computer skills in utilizing word processing, integrated database, and understanding of mathematical calculations and medical terminology

Responsibilities

Ensures insurance verification is completed accurately, and within a minimum of three days prior to date of service.
Data entry is accurate and completed in patient accounting software (HST) according to procedure.
Makes sure authorization forms are in the medical record prior to date of service.
Contacts patients to communicate patient responsibility due on the date of service.
Verifies a minimum of thirty-five accounts daily.
Assures Health Stream education is up to date and completed prior to annual evaluation.
Participates in regular departmental staff meetings and facility-wide meetings.
Always on time for work and attendance is within company policy guidelines.
Willingness to assist in orientation of new staff and ensuring a high level of employee satisfaction and retention.