What are the responsibilities and job description for the Insurance Verification Specialist/Out of Pockets position at Jax Spine & Pain Centers?

GENERAL SUMMARY OF DUTIES :

Contributes to the company’s mission, vision, and values by verifying benefits for scheduled patients.
The Insurance Verifier interacts with the Scheduler to obtain necessary patient information from physician’s offices.
The Insurance Verifier also determines how much money to collect from the patient up front and what reimbursement is expected from the insurance company.

DUTIES INCLUDE BUT ARE NOT LIMITED TO :

Performs insurance pre-certification, verification, contacts patient with financial liability, and documents information accordingly.

Verifies and obtains all patient eligibility, authorizations, benefits, claim information with insurance companies, and 3rd party payers at least within 3 business days prior to surgery.

Determines and documents accordingly patient portions due, amounts to be billed, contractual discounts to be taken, or any other authorized discounts that may apply.

Communicates this information with appropriate personnel for preparation of the pre-admission process.

Also communicates with appropriate parties any problems arising with the verification of benefits.

Identifies all patient accounts accurately based on the insurance plan.

Contacts patients and provides updates on benefit verification information, requests additional information, insurance cards, and explains to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, during this call, on or before the time of service.

Accurately completes data entry necessary including authorizations and benefits as well as patient communication in the EMR System.

Makes financial arrangements after consulting with ASC Administrator / Director of Revenue Cycle Management when patient is unable to pay amounts due in full the day of surgery.

Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.

Other duties as assigned based on business operational needs.

About Jax Spine & Pain Centers :

ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.LOOKING FOR A CAREER IN THE MEDICAL FIELD?Apply today and have the potential to join Northeast Florida’s Leading Interventional Pain Management Specialists. At Jax Spine & Pain Centers, we provide our patients with superior solutions to treat acute and chronic pain.Now serving multiple locations, our board certified physician’s along with our professional staff value hands-on compassionate care, from the consultation through treatment. Please see the list below for our current openings. We seek qualified, highly energized and self-motivated individuals who respect the essence of time and appreciate the value of a smile.We are always accepting resumes for the following positions : Medical assistantsDME techniciansMedical billing / AR specialistsCall center customer service representatives.

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Insurance Verification Specialist/Out of Pockets

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