Benefits Specialist

AMSURG•Columbia, TN

8d•Onsite

About The Position

We are currently searching for a (Full-Time) Verification Specialist to work Mondays - Fridays (8:30-5:00) who can work cooperatively with staff and physicians and perform a variety of tasks. This position is responsible for the daily functions of the insurance verification process, which includes verifying benefits, checking patient eligibility to determine coverage, and notifying patients of their financial obligations, as well as ensuring that money will be collected the day of surgery.

Requirements

Strong experience with 10-key
Types a minimum of 40 wpm
Strong knowledge of Microsoft Excel and Outlook
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages
Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to successfully write business correspondence.
Ability to effectively present information, respond to questions, and professionally interact with healthcare team, clients, vendors, and the general public.
Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors.
Ability to understand and interpret basic financial data.
Ability to interpret a variety of instructions in a variety of forms and dealt with abstract and concrete variables.
Ability to stand and walk for 6-8 hours per day
Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight
Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without "giving out” or fatiguing
Ability to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position
Ability to exert yourself physically over long periods of time without getting winded or out of breath
Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears
Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus
You must possess a HS school diploma/GES
Previous experience in health insurance verification/billing (REQUIRED)
Knowledge of Microsoft Word/Excel
Must pass a background check and drug screen
Effective November 1, 2021, AMSURG's Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other.

Responsibilities

Reviews and maintains records to ensure accuracy
Enters data electronically to process patient information
Maintains all patient records
Abstract clinical information from a variety of medical records
Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
Manages proper submission of documents in a timely fashion
Attends in-services, seminars, and webinars for additional education and performance improvement
Reviews insurance benefits and insurance requirements on all new patients prior to surgery
Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information (phone or electronically)
Determines if the patient can be seen at the ASC based on their insurance coverage
Updates the upfront collections log as needed
Meets with patients regarding their insurance benefits
Works with the Physician practice to coordinate benefits and upfront collections where needed
Completes verification in a timely manner to allow time for patient liability calls
Contacts patients with patient liability information
Makes arrangements for patient payments based on center guidelines
Attends all required education
Regular and predictable attendance
Performs other duties as assigned
Exhibit mental alertness for quality decision making and exercising good judgment
Ability to multi-task effectively, efficiently, accurately, and with attention to details
Ability to recognize/define problems, collect data/facts, draw valid conclusions, and correct errors
Ability to interpret instructions in a variety of forms and deal with abstract and concrete variables
Ability to effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient care
Ability to respond to questions and professionally interact verbally and/or written with managers, co-workers, patients, and the general public
Work well with others - be a team member
Report observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer or other designated person, following the Chain of Command
Participate in staff meetings, in-services, and continuing education as required