Patient Service Insurance Verification Rep

United Surgical Partners International•Salem, NH

37d•Onsite

About The Position

North Atlantic Surgical Suites is an ambulatory surgical center specializing in total knee and hip replacement surgery and orthopedic spinal surgery. Conveniently located in Salem New Hampshire, the state-of-the-art facility was created by leading-edge surgeons from Boston area Hospitals to provide the best possible patient experience.We provide first-class surgical services for local communities and recognize our employees as our number one asset. Job Summary: Under the day-to-day general direction of the Administrator and Business Office Coordinator. This dual role handles and routes all incoming calls, greets patients and patient families, verifies patient insurance, processes collections and ensures proper handling of patient charts.

Responsibilities

Receives patients and visitors and provides assistance in scheduling appointments, patient registration, medical chart maintenance and the coordination of patient referrals.
Greets patients and visitors in a courteous and professional manner and verifies patient contact and insurance information on file.
Coordinates and schedules appointments.
Registers the patients, while ensuring that all demographic information is current.
Ensures that required documents are received and documented in the patient's record, such as Physician orders, result of patient history and physical exams, advance directives, patient bill of rights
and notice of ownership disclosure.
Creates, files and retrieves patient charts as needed, ensuring proper security measures are followed to maintain confidentiality of all patient information.
Answers non-medical questions and gives routine non-medical instructions.
Enter demographics of new patients, including insurance information, into the applicable system.
Ensures appropriate patient signatures are secured for the informed consents prior to service being rendered.
Ensures that referrals are available and, if required, coordinates the exchange of patient data with referral sources.
Answers incoming telephone calls, handling calls if applicable and otherwise routing calls to the appropriate party or taking messages.
Collects, verifies and enters the applicable system, all insurance and third-party resources for payment.
May coordinate insurance verification with insurance companies through online eligibility verification system on a case-by-case basis.
Communicates with patient regarding patient's financial responsibility and collects money such as copayments for the procedures.
Conducts reminder calls prior to procedures.
May escort patients throughout the Center to ensure proper office flow.
Understands and abides by all HIPAA policies and procedures.
Maintains inventory of office supplies.
Performs other duties as requested or assigned. This role excludes performing any clinical tasks related to patient, to include assessment or evaluation of patient's medical condition or providing clinical advice or medical care or recommendations.
Demonstrated knowledge of potential exposure to hazardous materials (i.e. patient body fluids, disinfectant chemicals) and location of SDS sheets.
Participates in QAPI and Safety Program.