Insurance Verification Specialist/Scheduler

 In partnership with Intermountain, Surgery Partners is seeking an Insurance Verification/ Scheduler to join our Team!

JOB TITLE: Insurance Verification/Scheduler

GENERAL SUMMARY OF DUTIES:

Responsible for scheduling all surgery cases and will liaise with a number of referring doctors’ offices. He/She will be an integral part of our business office team and will be valued as a key member of our organization.

SUPERVISION RECEIVED: Office Manager

ESSENTIAL FUNCTIONS: 

• Counseling patients and scheduling surgeries for multiple physicians.
• Schedule surgeries and work with primary care physicians daily to ensure each patient has their history and physicals completed prior to surgery.
• Complete all necessary paperwork for each procedure on the physicians’ schedule.
• Verify authorizations and pre-certifications and work with physician offices and insurance to obtain as needed.
• Calculate and provide estimated financial responsibility to patients prior to services.
• Must be capable of multi-tasking and working with a diverse patient population. 
• Provide back up support for the Front Office as needed.
• Other duties as needed. 

EDUCATION/EXPERIENCE:

• High School Diploma or GED
• 2 years of previous experience scheduling appointments and/or surgeries preferred
• Experience with medical insurance verification and authorizations for medical procedures preferred

KNOWLEDGE:

• Knowledge of clinic policies and procedures.
• Knowledge of managed care contracts and utilization.
• Knowledge of computer systems, programs and spreadsheet applications.
• Knowledge of medical terminology and be familiar with scheduling software.

SKILLS:

• Skill in gathering and reporting claim information.
• Skill in solving utilization problems.
• Skill in written and verbal communication and customer relations.
• Experience in a medical office as a scheduler.
• Fast and accurate data entry.
• Service oriented, patient demeanor.
• Ability to multi-task, manage time effectively, and deliver results.
• Strict attention to detail.
• Intermediate computer skills and knowledge of Microsoft Office. 
• Ability to work effectively with medical staff and external agencies.
• Ability to identify, analyze and solve problems.
• Ability to deal courteously and professionally with internal and external customers.
• Ability to provide excellent customer service.

PHYSICAL/MENTAL DEMANDS:  Requires sitting and standing associated with a normal office environment. 

ENVIRONMENTAL/WORKING CONDITIONS:  Normal busy office environment with much telephone work.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Benefits:  

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance 
• PTO
• 401(k) retirement plan with a company match
• And more! 

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.