What are the responsibilities and job description for the Health Insurance Specialist position at Augusta Urology Surgicenter?
Summary of Position:
We are seeking a detail-oriented and organized Insurance Specialist to join our team. In this role, you will be responsible for verifying insurance benefits for surgeries performed at the hospital and Augusta Urology Surgi-center. The ideal candidate will possess strong knowledge of insurance policies, and medical terminology, and will work closely with patients and insurance providers to ensure accurate benefit verification and facilitate a seamless process for surgical procedures.
Insurance Specialist Duties:
- Verify insurance eligibility, covereage and benefits for patients.
- Collaborate with insurance companies to obtain pre-authorization and pre-certification.
- Track and follow up on pending authorization or benefits verification requests.
- Ensure that insurance requirements, coverage limits, and patient responsibilities are clearly communicated and documented.
- Review insurance policy details to identify potential issues with coverage or billing, ensuring accuracy.
- Communicate with patients regarding their insurance coverage, including deductible, co-payments, and any out-of-pocket costs.
- Work closely with the surgery scheduling team to ensure that all required insurance information is available prior to surgery dates.
- Maintain accurate patient records, verifications, and billing documentation in the electronic health record (EHR) system.
- Stay informed of changes in insurance policies, procedures, and reimbursement rates affecting urology services.
Other responsibilities as needed.
Minimum Qualifications:
- Insurance Verification Experience Required
- 1-2 years experience in medical office environment
- Medical Terminology knowledge
- Strong attention to detail and ability to manage multiple tasks and deadlines
- Excellent communication skills with patients, colleagues and insurance representatives
- Previous experience in insurance verification, claims submission preferred
- Familiarity with insurance contracts and payer requirements
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Commute:
- Augusta, GA 30901 (Required)
Ability to Relocate:
- Augusta, GA 30901: Relocate before starting work (Required)
Work Location: In person
