Insurance Specialist Full Time

United Surgical Partners International; Oklahoma City (OK); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Life and AD&D coverage

Disability coverage

FSAs/HSAs

401(k)

EAP

Paid holidays and vacation

Sign-on bonus

Job summary

Community Hospital in Oklahoma City is hiring a Full Time Insurance Specialist with a $500 sign-on bonus. The role focuses on insurance verifications, pre-authorizations and patient billing, supporting accurate and timely reimbursement while delivering excellent customer service.

The position requires strong communication skills, attention to detail, and the ability to manage multiple tasks in a fast-paced hospital setting. Benefits include medical, dental, vision, 401(k), EAP, and paid holidays.

Qualifications

• High School graduate or equivalent; 2 years college preferred.
• Experience in patient registration, verification and authorization in a medical setting.
• Knowledge of managed care, Medicare, workers’ compensation, indemnity and other third party payers.
• Ability to type 40 WPM and enter data accurately.
• Excellent verbal and written communication and interpersonal skills.
• Ability to handle multiple tasks with short timelines and prioritize effectively.

Responsibilities

• Notify Case Management daily of inpatient/observation admissions to ensure communication with insurance companies.
• Verify and obtain insurance coverage and benefits via payer websites or by telephone for all patients registered for services.
• Obtain pre-authorizations and/or per-certifications for timely reimbursement and enter data into the system.
• Inform patients about payment expectations related to co-pays, deductibles, and co-insurance; establish payment arrangements as needed.
• Post payments and balance cash drawer; log cash collections and generate receipts.
• Maintain patient confidentiality per HIPAA and document notes for billing inquiries.
• Provide assistance to patients regarding billing questions and open accounts.
• Monitor productivity and meet quality and service standards.

Skills

Communication

Patient service

multitasking

Education

High School diploma

Some college preferred

Tools

Microsoft Word

Excel

Job description

Community Hospital is hiring a Full Time Insurance Specialist with a $500 Sign On Bonus!

We’re offering an exciting opportunity to work alongside a dedicated, compassionate team – where you are valued just as much as the patients we serve. At Community Hospital, we are guided by our C.A.R.E.S. values where Compassion is required, Attitude is valued, Respect is demanded, Excellence is expected and Service is commended. Come be a part of a place where your hard work is recognized, your goals are supported, and your impact matters.

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs, HSAs, and Daycare FSA.
• 401(k) and access to retirement planning
• Employee Assistance Program (EAP)
• Paid holidays and vacation

Insurance Specialist financially secures accounts within established timeframes. Ensures that all notifications to payers are completed, authorizations obtained, verifies coverage and benefits, reviews and corrects each pre-registration for accuracy of financial information, and appropriately documents information in the system account notes. Maintains operational knowledge of all insurance payers and requirements necessary to ensure maximum and timely reimbursement. Responsible for participating in the efficient, complete and timely patient registration process that models the customer service philosophy of Community Hospital and Northwest Surgical Hospital.

Community Hospital Only

• Notify Case Management daily of all inpatient and observation patient admissions to ensure communication to insurance companies of patient’s status.

All Facilities

• Accurately obtain via fax, telephone or personal interview, the required financial and insurance information from the patient, patient’s representative, scheduling or physician’s office.
• Verify and obtain insurance coverage and benefits via insurance company website, insurance eligibility programs or by telephone for all patients registered for services for all payer types. Consistently strives to stay a minimum of three (3) business days in advance of patients arrival.
• Perform notifications and obtain pre-authorizations and/or per-certifications for timely and accurate reimbursement. Determine appropriate financial class and accurately enter the data into the system.
• Communicate insurance coverage details to patients and inform the patient/guarantor prior to service date regarding payment expectations related to co-payments, co-insurance, and/or deductible amounts. Establish payment arrangements as appropriate according to established guidelines.
• Notify patients of any required and expected co-pay’s, deductibles or co-insurance payments prior to their arrival.
• Attempt to collect patient payments during initial phone contact in order to alleviate the amount of effort and time required on the day of service.
• Log cash collections, generate receipts and maintain a balanced cash drawer at all times. Post payments to patient’s account as required.
• Document in the patients account notes any information that will assist the business office in their efforts to understand the issues that may impact efficient billing, questions about the status of the claim or other follow-up.
• Provide assistance to patients when they present to the facility in person with questions regarding billing or open accounts.
• Inform Department Director or Team Lead of potential problem accounts or additional requirements for reimbursement to receive direction on how to resolve situations.
• Consistently demonstrate premier customer service and communication skills with all internal and external customers/contacts and ensure the patient and their family members have the best hospital encounter possible.
• Consistently respond to all incoming calls within the third ring.
• Meet established quality and productivity standards for self and for the team.
• Anticipate and adapt to change (e.g., hospital policy changes, operational/procedures, insurance changes) in a positive manner.
• Foster and reinforce team-based results.
• Adhere to time and attendance standards as outlined in the Human Resource Policy manual. Provide proper notification of absence or tardiness within established departmental time frames.
• Ensure patient confidentiality adhering to HIPAA guidelines.
• Demonstrate the knowledge, skills and abilities (competencies) to perform the duties outlined above annually in the form of a test or as evidenced by daily quality review and direct observation of the Team Lead and/or the Department Director.
• Track and monitor productivity as requested.
• Keep Department Director apprised of any delays in the registration process.
• Remain current on scheduling, registration, insurance verification, and other patient registration processes in order to cover in the absence of other team members.
• Perform other duties as assigned.

Qualifications

• High School graduate or equivalent required; 2 years college preferred.
• Experience in patient registration, verification and authorization in a medical center or comparable required.
• Working knowledge of managed care, Medicare, worker’s compensation, indemnity and other third party payers required.
• Working knowledge of governmental regulations and other reimbursement criteria required.
• Ability to accurately type 40 WPM, complete forms, simple correspondence and enter data.
• Excellent verbal and written communication as well as interpersonal skills required.
• Demonstrated ability to handle multiple tasks with short time-lines, prioritize and organize work, and complete assignments in a timely and accurate manner.
• Exceptional ability to interact and communicate effectively, tactfully, and diplomatically with patients, families, medical staff, co-workers, employers and insurance company representatives.
• Must have a pleasant disposition, positive attitude and possess the ability to maintain a cordial and professional approach during periods of stress.
• Skill in using office equipment: basic computer skills, photocopier, telephone, fax machine, and calculator.
• Demonstrated ability to think and act decisively in a timely manner.
• Ability to maintain operational knowledge of all insurance requirements necessary to achieve optimal reimbursement.