Benefits Specialist

AmSurg Corp; Columbia (TN); On-site; USD 38,000 - 48,000; Full time

Job summary

AMSURG Corp's Surgery Center of Middle Tennessee is seeking a full-time Verification Specialist to support daily insurance verification, benefits review, patient eligibility, and upfront collection discussions for the day of surgery.

You will input data, maintain records, communicate with patients and insurance carriers, and work with physicians to coordinate benefits, ensuring timely verification and accurate billing while upholding HIPAA and privacy standards.

Qualifications

• HS diploma required; prior health insurance verification experience preferred.
• Ability to verify patient benefits and eligibility for surgery.
• Strong data entry and attention to detail.

Responsibilities

• Verify insurance benefits and patient eligibility for surgery.
• Notify patients of financial obligations and collect payments at the point of service.
• Enter and maintain patient information; ensure accuracy and confidentiality.

Skills

10-key

Typing 40 wpm

English proficiency

Education

HS diploma

Tools

Excel

Microsoft Outlook

Microsoft Word

Job description

Verification Specialist

The Surgery Center of Middle Tennessee

We are currently searching for a (Full-Time) Verification Specialist to work Mondays – Fridays (8:30-5:00 in person) who can work cooperatively with staff and physicians and perform a variety of tasks. This position is responsible for the daily functions of the insurance verification process, which includes verifying benefits, checking patient eligibility to determine coverage, and notifying patients of their financial obligations, as well as ensuring that money will be collected the day of surgery.

Essential Duties And Responsibilities

• Reviews and maintains records to ensure accuracy
• Enters data electronically to process patient information
• Maintains all patient records
• Abstract clinical information from a variety of medical records
• Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
• Manages proper submission of documents in a timely fashion
• Attends in-services, seminars, and webinars for additional education and performance improvement
• Reviews insurance benefits and insurance requirements on all new patients prior to surgery
• Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information (phone or electronically)
• Determines if the patient can be seen at the ASC based on their insurance coverage
• Updates the upfront collections log as needed
• Meets with patients regarding their insurance benefits
• Works with the Physician practice to coordinate benefits and upfront collections where needed
• Completes verification in a timely manner to allow time for patient liability calls
• Contacts patients with patient liability information
• Makes arrangements for patient payments based on center guidelines
• Strong experience with 10-key
• Types a minimum of 40 wpm
• Strong knowledge of Microsoft Excel and Outlook
• Attends all required education
• Regular and predictable attendance
• Performs other duties as assigned

Cognitive Skills

• Exhibit mental alertness for quality decision making and exercising good judgment
• Ability to multi-task effectively, efficiently, accurately, and with attention to details
• Ability to recognize/define problems, collect data/facts, draw valid conclusions, and correct errors
• Ability to interpret instructions in a variety of forms and deal with abstract and concrete variables

Communication

• Ability to effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient care
• Ability to respond to questions and professionally interact verbally and/or written with managers, co-workers, patients, and the general public

Teamwork

• Work well with others – be a team member
• Report observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer or other designated person, following the Chain of Command
• Participate in staff meetings, in-services, and continuing education as required

Mathematical Skills

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages

Language Skills

• Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions, and professionally interact with healthcare team, clients, vendors, and the general public.

Reasoning Ability

• Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and dealt with abstract and concrete variables.

Physical Demands

• Ability to stand and walk for 6-8 hours per day
• Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight
• Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without “giving out” or fatiguing
• Ability to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
• Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position
• Ability to exert yourself physically over long periods of time without getting winded or out of breath
• Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears
• Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

Work Environment

Days and hours of work may vary to meet patient needs

The Center provides preoperative beds, procedure rooms, and post-procedure beds

The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs, such as laser rooms and some OR/Procedure rooms

Staff will work with medical and office equipment, some of which will have moving parts

Noise level is usually quiet to moderate

Staff may have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutions

The Center procedure rooms are often small, and due to equipment may have little room to work around and may necessitate reaching, pulling, pushing

Staff will work in close proximity to patients and co-workers

You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (REQUIRED), and knowledge of Microsoft Word/Excel.

Effective November 1, 2021, AMSURG’s Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other.

Must pass a background check and drug screen.

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.