Insurance Verification

3 weeks ago


Mesa, United States United Surgical Partners International Inc (USPI) Full time

**Arizona Spine and Joint Hospital **is looking for an experienced **Insurance Verification and Collections Specialist**. **Arizona Spine and Joint Hospital** is a physician owned surgical hospital specializing in Orthopedic surgeries.

Under the direction of the Business Office Manager, the **Insurance Verification and Collections Specialist **will be responsible for:

- Verifies patient hospital benefits and eligibility, authorization requirements, notification of admission requirements, Blue Distinction Center requirements, and coordination of benefits, for scheduled procedures, add-on procedures, and direct admit procedures.
- Enters and maintains detailed electronic data per the established department criteria.
- Coordinates with Case Management and Coders to review upcoming procedures for correct admitting status and procedure codes.
- Confirms scheduled procedure/CPT codes appropriate for admit status and per payer requirements.
- Monitors and follows up on pending authorizations of upcoming surgical cases.
- Prepares patient estimates, and ensures they are ready in a timely manner for Admitting.
- Monitors the daily operation of the revenue cycle and all billing and collections function.
- Resolves error reports associated with the billing process

**Collections**:Ensures collection duties are accurately performed in completion of, but not limited to, the following areas:

- use of Meditech system; posting of payments from EOBs
- posting of adjustments and write-offs on accounts
- account follow-up on all types of payers
- receiving and working with patient calls
- resolving problem accounts
- managing correspondence and verification of payments as it relates to managed care contracts.

**Required Skills**:

- Demonstrated verbal communication skills for contacting payers, patients and coworkers.
- Willingness to accept other duties as assigned.
- Demonstrated computer skills in utilizing word processing, integrated database and other functions.
- Demonstrated ability to utilize and understand mathematical calculations.
- Ability to use office machines and telephone systems.
- Demonstrated knowledge of medical terminology.
- Prior experience in collection of accounts preferred.

**Benefits**:

- **Hybrid Schedule: Split time between the hospital and work from home**:

- **Medical, Dental, Vision**:

- Generous PTO Plan
- Sick Time
- 7 Paid Holidays
- 401k w/matching
- Employer Paid Life Insurance
- Employee Paid Life Insurance
- Short Term Disability
- Long Term Disability
- Breakfast and lunch served daily
- and much more



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