Insurance Verifier

Cool Springs Surgery Center; Franklin (TN); On-site; USD 36,000 - 48,000; Full time

Job summary

Cool Springs Surgery Center in Franklin, TN seeks an Insurance Verifier with the ability to communicate effectively with payors, staff, physicians and patients. The role requires timely insurance verification and accurate data entry in the practice management system.

The Insurance Verifier will handle patient demographics, verify benefits, inform patients of responsibilities, and support timely collection efforts while collaborating with the facility team.

Qualifications

• High School diploma is required.
• At least 1 year of experience in healthcare business office activities.
• Ability to relate and work effectively with others.
• Fluent verbal and written English for contacting payors, patients and coworkers.
• Strong computer skills: word processing, databases and medical terminology.

Responsibilities

• Verify insurance within three days prior to date of service.
• Enter and correct patient demographics in the practice management system.
• Ensure authorization forms are in the medical record before service.
• Contact patients to communicate patient responsibility at service date.
• Verify at least 35 accounts daily.

Skills

Verbal communication

Written communication

Data entry

Medical terminology

Customer service

Education

High School diploma

Tools

HST software

Job description

Cool Springs Surgery Center

Franklin, TN 37064

Insurance Verifier will possess excellent written and verbal skills and be in communications with physicians offices and patients. Responsibilities will include the verification of benefits and coverages of insurance plans specific to the patient with the ability to calculate an estimated responsibility. Contact will be made with patients to make payment arrangements for upcoming procedures. Verifier will also work closely with other members of the facility in order to source the most accurate information available for all cases to be worked.

Job Summary:

Ability to communicate effectively with insurance payors, Center's staff, physicians and their staff, patients and their families. Must be able to verify insurance in a timely manner. Ability to handle frequent interruptions that result in having to re-evaluate priorities. Keyboarding, medical terminology and detail oriented.

The Insurance Verifier associate is responsible for entering, correcting and verifier all patient demographics and financial billing information in the practice management system and patient record.

Job Duties and Responsibilities:

• Ensures insurance verification is completed accurately, and within a minimum of three days prior to date of service. Specific duties identified below:
  • Data entry is accurate and completed in patient accounting software (HST) according to procedure
  • Makes sure authorization forms are in the medical record prior to date of service
  • Contacts patients to communicate patient responsibility due on the date of service
  • Verifies a minimum of thirty-five accounts daily.
• Assures Health Stream education is up to date and completed prior to annual evaluation.
• Participates in regular departmental staff meetings and facility -wide meetings.
• Always on time for work and attendance is within company policy guidelines
• Willingness to assist in orientation of new staff and ensuring a high level of employee satisfaction and retention.

Qualifications:

• High School graduate
• Minimum of one year of experience in business office activities within a healthcare environment
• Ability to relate and work effectively with others
• Demonstrated verbal and written communications in English for contacting payors, patients, and co-workers
• Demonstrated computers skills in utilizing work processing, integrated database, and understanding of mathematical calculations and medical terminology
• 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 organizationis 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 organizationiscommitted 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.

Behaviors

Preferred

• Enthusiastic: Shows intense and eager enjoyment and interest
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

Preferred

• Self-Starter: Inspired to perform without outside help
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.