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Health Insurance Specialist

Augusta Urology Surgicenter
Augusta, GA Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 4/25/2025

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

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