What are the responsibilities and job description for the Insurance Verification Specialist position at Regent Surgical?
About Regent Surgical Health
Since 2001, Regent Surgical Health has been a leader in developing and managing successful surgery center partnerships between hospitals and physicians. We continually improve and evolve the ASC model based on changing market conditions to stay ahead of emerging trends. From this vantage point, our team has developed proprietary ASC ownership models that give both physicians and hospitals what they need to ensure long-term clinical and financial success.
Regent offers a comprehensive and competitive benefits package as one way to recognize our employee's contribution to the success of the organization and our role in helping you and your family to be healthy, feel secure and maintain a work/life balance.
Pursuant to the ADA, Regent will provide reasonable accommodation(s) to all qualified employees with known disabilities, where their disability affects the performance of their essential job functions, except where doing so would be unduly disruptive or would result in undue hardship.
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.
We are an equal opportunity employer.
Under the direction of the Business Office Manager, the Insurance Verification Clerk performs a variety of clerical tasks, as they relate to insurance recovery and the processing of patient claims for the efficient business operation of the Surgery Center. Accountable for the accuracy of information obtained for the processing of insurance claims for procedures done within this facility.
Duties, Responsibilities, Competencies
Requirements
Required:
Since 2001, Regent Surgical Health has been a leader in developing and managing successful surgery center partnerships between hospitals and physicians. We continually improve and evolve the ASC model based on changing market conditions to stay ahead of emerging trends. From this vantage point, our team has developed proprietary ASC ownership models that give both physicians and hospitals what they need to ensure long-term clinical and financial success.
Regent offers a comprehensive and competitive benefits package as one way to recognize our employee's contribution to the success of the organization and our role in helping you and your family to be healthy, feel secure and maintain a work/life balance.
Pursuant to the ADA, Regent will provide reasonable accommodation(s) to all qualified employees with known disabilities, where their disability affects the performance of their essential job functions, except where doing so would be unduly disruptive or would result in undue hardship.
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.
We are an equal opportunity employer.
Under the direction of the Business Office Manager, the Insurance Verification Clerk performs a variety of clerical tasks, as they relate to insurance recovery and the processing of patient claims for the efficient business operation of the Surgery Center. Accountable for the accuracy of information obtained for the processing of insurance claims for procedures done within this facility.
Duties, Responsibilities, Competencies
- Communicating with staff and patients for patient payments due
- Work with physicians’ offices and other provider for referrals, authorizations, and any billing issues
- Completing Medical Records requests
- Maintaining the accuracy of our EMR
- Provides regular communication and feedback to supervisor.
- Speaks to and approaches others in a friendly and compassionate way; Is open to other employee suggestions
- Demonstrates the ability to effectively communicate with others, including physician offices, insurance companies, patients and others about insurance benefits and costs associated to procedures.
- Demonstrate proactive approach to problem identification and solutions.
- Works well with others.
- Demonstrate appropriate time management skills, prioritization and task completion.
- Exhibits proficient knowledge of health plan benefits including co-pays, deductibles and co-insurance.
- Ability to handle multiple assignments or pieces of work at one time. The capability of working within a stressful environment under consistent deadlines, pressures and interruptions.
- Demonstrates the ability to cope with and manage change.
- Demonstrates an exceptional grasp of required skills including: detail-oriented, commitment to accuracy, able to anticipate needs before they become critical.
- Self-motivated to keep self-current and relevant in skills and competency.
- Taking prompt and decisive action to produce service levels beyond what is minimally required in the job; Acting without prompting; regularly volunteer’s individual energy to a situation.
- Achieves performance excellence through skills of organization; able to create successful work flow processes; reliable in all areas of work.
- Seeks opportunities to accept ideas and help from co-workers to accomplish work goals; Willingness to share credit; Appreciates differences in personalities; actively seeks out opinions from others and honors them in decision making.
- Assumes all other duties and responsibilities: demonstrates willingness to identify and/or assume activities relative to the developmental needs of the reception department and center
Requirements
Required:
- High school diploma or general equivalency degree (EGD)
- Two years minimum experience medical insurance office
- Knowledge of heath care operations
- Proficient computer skills
- ASC experience
- Microsoft Office Specialist certifications
