Remote Insurance Verification & Authorization Specialist

Surgery Partners, Inc; Utah; On-site; USD 40,000 - 65,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Health Savings Account with employer &

Life Insurance

PTO

401(k) retirement plan with company 4x

Job summary

Surgery Partners, Inc. is seeking a detail-oriented healthcare administrator to maintain accurate records and verify insurance benefits. The role involves obtaining referrals and authorizations, reviewing patient accounts, and communicating with patients and staff to resolve issues.

The ideal candidate will have knowledge of the revenue cycle in healthcare, strong data entry skills, and the ability to work in a fast-paced environment while maintaining confidentiality and accuracy.

Qualifications

• Knowledge of revenue cycle in healthcare.
• Knowledge of clinic policies and procedures.
• Knowledge of managed care contracts and utilization.
• Knowledge of CPTS/ICD-9

Responsibilities

• Ensure all records are maintained in absolute integrity and in compliance with applicable regulations and requirements.
• Obtaining or updating required referrals and authorizations via phone, fax, on-line, etc.
• Review reports daily for patients requiring authorizations, pre-notification, and insurance benefit verification.
• Data entry in a fast-paced environment with high expectations on accuracy.
• Updates the patient account with details of the insurance verification.
• Coordinating with patients regarding their insurance benefits.
• Identifies deductibles, co-pays, and self-pay accounts.
• Notifying the appropriate staff members if treatment or service is denied.
• Assist manager and other staff with account questions when presented.
• Perform other duties as assigned.
• Rely on experience and judgment to plan and accomplish goals.

Skills

Claim data gathering

Utilization problem solving

Communication skills

Tools

Computer systems

Spreadsheet software

Job description

Surgery Partners, Inc. is seeking a detail-oriented healthcare administrator to maintain accurate records and verify insurance benefits. The role involves obtaining referrals and authorizations, reviewing patient accounts, and communicating with patients and staff to resolve issues.

The ideal candidate will have knowledge of the revenue cycle in healthcare, strong data entry skills, and the ability to work in a fast-paced environment while maintaining confidentiality and accuracy.