Pre verification Collections
4 months ago
Full-Time: Pre-verification/ Collections
No weekends, No holidays and No call
Saint Thomas Surgicare is a multi-specialty practice that focuses on providing the best and safety patient experience in the outpatient setting. We are currently seeking a dynamic Insurance Certifier to join our staff.
Job Summary:
The Pre-verification/ Collections will be responsible for working the facilities A/R report and collecting money due from the Insurance Company. Fighting for reimbursement of claims processing.
Verifies insurance coverage based on information provided by physician offices at the time of scheduling.Contacts patient to gather additional information, if needed, as well as to notify them of their financial responsibility prior to the scheduled date of service.
Reviews financial obligation with patient and authorized party following USPI’s Surgicares program or any other program established by the company.Pre-qualifies third party coverage of scheduled procedure(s).Actively coordinates with materials management regarding required implants, equipment and/or supplies needed for scheduled cases in order to calculate allowable and patient responsibility accurately.
Follows all policies and procedures.
THESE DUTIES ARE IN ADDITION TO ANY OTHER DUTIES ASSIGNED TO THE INDIVIDUAL BY MANAGEMENT.
Who We Are
At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.
USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
What We Offer
As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.
Competitive wages Opportunities to better yourself professionally Health, Dental & 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 Free parking
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Required Skills:
High School graduate or equivalent. Excellent communication and negotiation skills Excellent office etiquette. Knowledge of medical terminology. Knowledge of the payment processing of a claim 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) Ability to enter data into computer, file large amounts of paper and use office equipment Knowledge of how to access benefits from various sources such as phone, person, websites Ability to interpret benefits in order to convey to patient and to calculate allowable Ability to use discretion in dealing with the public Ability to communicate patient benefits and payment options effectively and professionally Ability to calculate allowable and patient responsibility accurately
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