Insurance Certifier

2 months ago


Nashville, Tennessee, United States USPI Full time

About the Role:

The Pre-Verification/Collections Specialist will be responsible for working with the facilities' A/R report to collect money due from insurance companies and fight for reimbursement of claims processing.

Key Responsibilities:

  • Verify insurance coverage based on information provided by physician offices at the time of scheduling.
  • Contact patients to gather additional information and notify them of their financial responsibility prior to the scheduled date of service.
  • Review financial obligations with patients and authorized parties following USPI's Surgicare program or any other program established by the company.
  • Pre-qualify third-party coverage of scheduled procedures.
  • Actively coordinate with materials management regarding required implants, equipment, and/or supplies needed for scheduled cases to calculate allowable and patient responsibility accurately.

Requirements:

  • High school graduate or equivalent.
  • Excellent communication and negotiation skills.
  • Excellent office etiquette.
  • Knowledge of medical terminology.
  • Knowledge of payment processing under a managed care contract.
  • Computer skills.
  • Ability to handle confidential information.
  • Ability to foresee problems and be proactive in problem-solving.
  • Ability to work under pressure.
  • Prefer previous experience working with AdvantX (Patient Accounting System).

About USPI:

USPI is a multi-specialty practice that focuses on providing the best and safest patient experience in the outpatient setting. We are committed to providing surgical services in the most efficient and clinically excellent manner.

What We Offer:

  • Competitive wages.
  • Opportunities to better yourself professionally.
  • Health, dental, and vision coverage.
  • 401(k) retirement plan.
  • Paid time off (PTO).
  • Company-paid holidays.
  • Employee assistance programs.
  • Health savings account/flexible spending account.
  • Education assistance.
  • Short-term disability and long-term disability insurance.
  • Travel assistance when 100+ miles from home for business or vacation.

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