Benefits Specialist
The Surgery Center of Middle Tennessee is currently searching for a (Full-Time) Verification Specialist to work Mondays Fridays (8:30-5:00) in person 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.
Essential duties and responsibilities include:
- Reviews and maintains records to ensure accuracy
- Enters data electronically to process patient information
- Maintains all patient records
- Abstracts 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
Strong experience with 10-key, types a minimum of 40 wpm, strong knowledge of Microsoft Excel and Outlook, attends all required education. Regular and predictable attendance. Performs other duties as assigned.
Cognitive skills, communication, teamwork, mathematical skills, language skills, reasoning ability, physical demands, work environment.
You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (REQUIRED), and knowledge of Microsoft Word/Excel.
If you are interested in working in an environment that provides exceptional patient care, please apply online or send resume to: rhollis@amsurg.com.
Apply now! Come join our team! We offer competitive pay, medical, dental and vision plans, plus work/life balance by paid time off.