What are the responsibilities and job description for the Insurance Verification Specialist position at Southpoint Surgery Center?
About Us: Southpoint Surgery Center is a state-of-the-art ambulatory surgical center, combining an outstanding workplace for staff with a safe and comfortable environment for patients. The facility is designed to be flexible to meet the changing needs of healthcare. Southpoint Surgery Center provides a timely, accessible, cost-effective alternative to surgical care. By incorporating the center’s unsurpassed integrity with cutting edge technology, both physicians and patients will enjoy high quality care in a unique setting.
At Southpoint Surgery Center each of our team members, from our highly skilled nursing staff to our distinguished doctors, ensures our patients receive exemplarily care. Southpoint Surgery Center is an intermediary between physicians and patients, to foster the common goals of efficiency, innovation, technology, safety, and quality.
Job Description Summary: The purpose of insurance verification is to confirm the patient’s health insurance coverage details, including benefits, co-pays, deductibles and any pre-authorization requirements, minimizing the risk of denied claims. Patients are informed about their coverage and financial responsibility, prior to their date of service.
Essential Job Functions:
- Verifies insurance coverage details for each patient
- Obtains all needed authorizations from the healthcare provider’s office
- Communicates with insurance companies and healthcare providers
- Ensures that all insurance information, including CPT and diagnosis codes are correct upon verification and makes any necessary changes, as needed
- Provides a financial estimate to each patient, in a timely manner, at least one week ahead of procedure(s)
- Provides quotes needed for the patient’s future procedure(s) and notifies the patient within 72 hours
- Works closely with the scheduling coordinator, updating procedure and diagnosis codes as needed
- Ensures that all necessary paperwork for insurance verification has been uploaded to the patient’s chart before their scheduled procedure
- Effectively explains insurance plans/coverage to patients, as needed
- Returns all messages and emails in a 24-hour period
- Other duties as assigned
General Qualifications
- Attention to detail
- Communication skills
- Accurate data entry skills
- Fluent in English, utilize proper/professional grammar and phone etiquette
- Ability to work as a team member and communicate effectively with patients and coworkers
- Ability to function successfully and handle multiple tasks under possible stressful conditions
Education and Experience
- High School diploma required.
- Previous experience in insurance verifications preferred, but not necessary.
- Experience with Clariti / HST Price Transparency preferred
- Experience with HST Pathways / E-chart preferred
Job Type:
- Full-time
Benefits:
- Paid Time Off
- 401(k)
- Health Insurance
- Dental insurance
- Vision Insurance
- Short-Term Disability
- Long-Term Disability
- Flexible Spending Account
- Dependent Care Account
- Life Insurance
- Employee Assistance Program
Schedule:
- 40-hour work week (Monday – Friday)
Supplemental Pay:
- Bonus opportunities
Work Location:
- In person
Qualifications
- Medical coding
- Medical receptionist
- ICD-10
- Driver's License
- Medical Billing Certification
- Medical Coding Certification
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
