Summary:
To ensure the financial integrity of each patient’s account generated to maximize reimbursement. To educate and communicate to patients and/or responsible parties of any financial responsibilities, or insurance issues in order to streamline the process for patient arrival at the clinic and/or surgery facilities.
Key Responsibilities:
- Complete all surgery verification, authorization/precertification to improve customer satisfaction allowing no more than 2 weeks.
- Contacts insurance company for authorization/precertification requirement, initiate request and deliver pertinent medical records, i.e., chart notes, diagnostic imaging reports, and op notes, to expedite process; obtains patient eligibility and benefits via phone (live/automated) or online portal.
- Completes and provides surgical/injectable estimates to patients
- Confirms all eligible appointments and scans all pertinent documentation to patient’s chart.
- Notates pertinent information in the system regarding patient insurance verification/pre-certification status and patient financial responsibility.
- Notifies front desk staff and clinical team of any problematic insurance issue that may lead to clinic delay.
- Provides patient collection advice & benefit interpretations to AOSM staff and patients when necessary.
- Displays the highest level of customer service, attentiveness and consideration possible in all surgery cases.
- Any additional duties as assigned
- Conducts self as a positive role model and team member
- Recognizes patients’ rights and responsibilities and supports them in performance of job duties
- Participates in facility committees, meetings, in-services, and activities
- Communicates effectively and professionally with patients, visitors, physicians, and coworkers
- Performs according to established compliance policies and procedures
- Performs according to established performance-improvement policies and procedures
- Adheres to safety policies and procedures in performing job duties and responsibilities
- Seeks new learning experiences by accepting challenging opportunities and responsibilities
- Welcomes suggestions and recommendations
Required Skills & Competencies
Education: High school graduation or GED or 3 years of related experience and/or training or an equivalent combination of education and experience in a hospital/medical business office setting. Insurance knowledge and Medical Terminology is required.
Language Ability: Able to read and comprehend simple instructions, short correspondence or memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization. Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Ability to speak and communicate in Spanish is beneficial.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Computer Skills: Basic computer skills and operational knowledge are required. Good typing skills
Certificates and Licenses: None required.
Personal Skills: Insurance Verifier must have a pleasant and efficient manner in person and over the phone. Accuracy and attention to detail is essential to the job. The ability to work well under pressure and an awareness and understanding of other cultures are also important. Needs to have reasonable planning and organization skills as well as multi-tasking and prioritization abilities.
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Experience:
- Customer service: 1 year (Preferred)
- Insurance verification: 1 year (Required)
Work Location: In person
