What are the responsibilities and job description for the Benefits Verification Specialist position at Urology Partners of North Texas?
Benefits Verification Specialist
Job Title: Benefits Verification Specialist
Reports to: Revenue Cycle Manager
General Job Description
Under general supervision and according to established policies and procedures, the Benefits Verification Specialist will be responsible for day-to-day administrative functions in support of efficient and effective patient care including patient registration, insurance verification, prior authorizations, scanning, faxing, calculation, and collection and reconciliation of applicable deductible, copayments/co-insurance. Individual will practice exceptional customer service and answer incoming telephone calls. Communicates and coordinates information in a knowledgeable and courteous manner with staff, patients and families. Maintains confidentiality with patients, staff and guests.
essential job Responsibilities:
- Confirms insurance eligibility and referral requirements and secures signatures on required forms, including but not limited to, Financial Policy, Consent for Treatment, HIPAA, etc.
- Ensures that all required referrals are secured and attached to the applicable appointment in the Practice Management system.
- Scans and indexes patient documents.
- Explains financial requirements to the patients or responsible parties and collects deductible, copayments/co-insurance and balances due as required.
- Conduct pre-visit chart preparation, precertification and fax duties as assigned.
- Responsible for providing complex benefits review for single visits and extended episodes of care. Reviews benefits to ensure that organization and patient understand the extent of coverage for services.
- Provides combined cost estimates for facility and professional services. Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
- Provide financial counseling and billing information/options to patients.
- Responsible for reviewing account details for patient education and/or correction:
- Reviews balances and communicates to patient and other affected parties about outstanding balances.
- Assists patients in resolving account questions and concerns.
- Correctly identifies and advises patient on options to resolve bad debt balances.
- Advises patient about financial and special entitlement programs (such as charity programs, drug assistance programs, and other patient assistance options).
- Reviews all credit balances to accurately quote patient responsibility.
- Follows all clinic policies on safety and security; maintains restricted areas by safeguarding keyless entry codes and computer system passwords in strict confidentiality.
- Performs, organizes, and streamlines operational tasks to reduce the potential for errors.
- Maintains accuracy and productivity levels as established by department standards.
- Maintains patient safety and confidentiality at all times.
- Travels as required.
- All other duties as assigned by Practice Administrator or department supervisor.
WORK EXPERIENCE
- Minimum 1-3 years of relevant medical office experience preferred. Preference given to those with Urology experience.
Skills
- Standard operation of office equipment including computers, fax machines, copiers, printers, telephones, etc…
- Ability to work in a fast-paced environment and provide exceptional customer service and phone etiquette.
- Ability to maintain effective and organized systems to ensure timely patient flow.
- Working knowledge of medical terminology, CPT-9 and ICD-10 coding and familiarity proficiency in insurance knowledge including verifications.
- Computer proficiency and prior experience with Electronic Medical Records preferred.
PHYSICAL REQUIREMENTS
- Computer entry requiring dexterity.
- Adequate physical ability including bending and lifting up to 50 pounds and sufficient manual dexterity to perform the requisite healthcare services.
Education
- High school diploma or GED; some college preferred.
Equal Opportunity Employer
Job Type: Full-time
Pay: From $17.50 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Experience:
- benefits verification: 1 year (Required)
Work Location: In person
Salary : $18
