Role overview

Qualifications

High school diploma or GED required
Two years minimum front office experience in a medical environment
Experience with insurance and scheduling
Strong customer service skills

Responsibilities

Insurance verification and eligibility
Insurance pre-authorization / pre-certifications verification and documentation in the billing system
Contacts and councils patients and families on insurance coverage and payment issues
Ensures all insurance, demographic, and eligibility information is obtained and entered in the billing system

Key facts

Remote from: Tennessee (USA)
Full time
English

Hard skills

Authorization (Computing) ICD Coding (ICD-9/ICD-10) Patient Registration Medical Insurance Claims Commercial Insurances Payment Plan Agreements Reimbursement Regulations Agility Conflict Management

Other skills

Customer Service
Communication
Teamwork
Resourcefulness
Problem Solving

About the company

Surgery Partners, Inc

Surgery Partners is a leading operator of surgical facilities and ancillary services with more than 180 locations nationwide. We provide exceptional integrated healthcare experiences between our providers and patients. Our diverse company operates multiple types of healthcare services dedicated to improving the quality of care in a convenient and cost-effective manner. Our integrated approach to advancing markets allows for flexibility to provide care on an individualized, local market basis. Whether entering into a new market with surgical facilities, ancillary services or joint ventures with health systems, or furthering an existing market’s growth potential by focusing on base business, in-market development and new service lines, our experience has shown us that no two markets are alike. We see value in individuality. At Surgery Partners, our mission is to enhance patient quality of life through partnership. Surgery Partners is an organization deeply committed to providing quality, compassionate and personalized care, to meet the needs of our diverse patients, employees and physician partners in the communities in which we serve. Our colleagues are critical in achieving that mission. As it truly brings out the best in all of us, Surgery Partners is committed to diversity and inclusion. Our Surgery Partners team is comprised of more than 7,000 employees and 4,600 affiliated physicians, serving more than 600,000 patients annually. Want to work with us? Check out our website for current employment opportunities.

Company details

Company typeXLarge

Company size10001

Links

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Job description

Description

Insurance verification and eligibility.
Insurance pre-authorization / pre-certifications verification and documentation in the billing system as well as electronic document system.
Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases.
Contacts and councils patients and families on insurance coverage, patient responsibility and payment issues prior to surgery.
Ensures all insurance, demographic, and eligibility information is obtained from patients and entered in the billing system in an accurate and timely manner. Registers patients in the system.
Collects and revises all patient insurance information.
Collects co-pays, deductibles and other out of pocket amounts prior to or at the time of service by patient request.

Qualifications

Education

High school diploma or GED required.
College degree a plus.

Experience

Two years minimum front office experience in a medical environment.
Experience with insurance and scheduling.
Experience with Payor portal, authorization, Payor payment policy and contract reimbursement.

License(s)/Certification(s)

PSR
None.

Knowledge/Skills/Abilities

Strong customer service skills.
Strong initiative and ability to work in a team environment.
ICD-10 and CPT code knowledge.

Core Competencies

Working Conditions

Physical Requirements

Talk / Hear
See
Stand
Sit
Repetitive Use of Hands

Hazards and Atmospheric Conditions

Normal Office Surroundings

Competencies

Agility

Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
Manages Uncertainty: Comfortable when things are in flux; readily shifts approach or behavior to fit changing circumstances.

Bias to Action

Action Oriented: Propensity to act or decide and move forward with a logical approach; can decide and act without having the total picture.
Delivering Results: Strives for high levels of achievement; maintains a clear and steady focus on meeting goals despite obstacles; is resilient when encountering setbacks.

Customer Focus

Identifying with Customers: Understanding who the external and internal customers are and what they value.

Managing Complexity

Essence: Extracts the core meaning out of complex situations; can separate the important from the noise when problem solving; hunts for the root cause of successes and failures.

Manages Conflict

Can hammer out tough agreements and settle disputes equitably.
Stays positive, constructive, and respectful, even in disagreements or conflicts.

Benefits:

Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please