Insurance Verification Specialist

Surgical Notes is hiring for an Insurance Verification Specialist to assist with insurance verification, authorization, and pre-service patient communication for all carrier types. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude.

External Title: Insurance Verification Specialist

Internal Title: US RCM Individual Contributor II

Reports to: Insurance Verification Manager

Responsibilities:

• Verify all insurance coverages; including commercial, workers' compensation, auto, and Medicare/Medicaid
• Determine patient responsibility
• Verify patient demographic information and update when necessary
• Identify patient primary, secondary and tertiary insurance coverage if available
• Contact each health plan to verify coverage, eligibility, authorization requirements and patient share of cost
• Verify plan selected in Patient Accounting System matches plan type based on information provided by the insurance company
• Professionally communicate financial responsibility to patient and make arrangements to pay amount due prior to service
• Obtain authorizations as needed
• Escalate issues to IV lead/manager, as appropriate
• Other responsibilities as assigned
  
  

Role Information:

• Full-Time
• Hourly
• Exempt
• Eligible for Benefits
• Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds.
  
  

Job Requirements:

Required Knowledge, Skills, Abilities, Education

• High school diploma or equivalent
• Minimum of one year's experience working with a healthcare provider
• A positive, open and friendly attitude to colleagues and clients
• Ability to accomplish tasks with little supervision
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
• Able to proactively identify non-covered services
• Comfortable with electronic and manual insurance verification
• Effective time management
• Knowledge of insurance coverages: commercial, workers' compensation, auto, Medicare/Medicaid
• Superior customer service and professionalism
• Working knowledge and experience with IPAs and health plans
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Outstanding communications skills; both verbal and written
  
  

Preferred Knowledge, Skills, Abilities, Education

• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• Strong Microsoft Office skills in Excel, Outlook, and Teams
  
  

Physical Demands:

• Sitting and typing for an extended period of time
• Reading from a computer screen for an extended period of time
• Speaking and listening on a telephone
• Working independently
• Frequent use of a computer and other office equipment
• Work environment of a traditional fast-paced and deadline-oriented office
  
  

Key Competencies

• Customer Service
• Attention to Detail
• Communication
• Initiative/Execution
• Organization
  
  

US Pay Ranges

$20—$23 USD

About Surgical Notes

Surgical Notes is the premier ASC revenue cycle management and billing services partner. Our expert teams with ASC-specific experience provide scalable billing, transcription, coding, and document management services and solutions that fully integrate with all leading ASC practice management systems. The largest management companies and hundreds of ASCs that partner with Surgical Notes experience and benefit from immediate operational and financial improvements that exceed industry performance levels.

Surgical Notes is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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