POSITION SUMMARY :

Underneath the supervision of the Center Leader or Office Manager, responsible for areas such as insurance verification, scheduling of surgical procedures, billing / coding / accounts receivable, accounts payable records or transcription of operative procedures.

Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public.

QUALIFICATIONS :

• High School Diploma or GED
• One (1) year of experience preferred in an Ambulatory Surgery Center (ASC)
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Basic computer skills

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• 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 call schedule log as needed
• Speaks with patients regarding their insurance benefits
• Works with the Physician practice to coordinate benefits and upfront call schedule where needed
• Completes verification in a timely manner to allow time for patient liability calls
• Makes arrangements for patient payments based on center guidelines
• Strong knowledge of Microsoft Excel and Outlook
• Attends all required education
• Regular, reliable and predictable attendance
• Performs other duties as assigned
• Verifies accuracy of patient’s insurance company name / address
• Verifies accuracy of insurance payments received / posted
• Verifies accuracy of adjustments
• Understands and abides by billing compliance regulations
• Loads patient statement forms into printer if needed
• Inserts statements and return envelopes into mailing envelopes, applies postage and sends to patients
• Receives calls related to patient bills, whether from patients or insurance companies
• Answers billing questions in a clear and polite manner; pulls business charts / computer files as necessary to answer questions
• Forwards all questions regarding refunds to administrator
• Forwards all complex / problem questions to administrator
• Verify credit cards if used and issue appropriate duplicate receipts
• Post all payments received from patient or insurance company to patient account
• Complete deposit log for patient and insurance payments as needed

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

Last updated : 2024-07-02