Pre verification Collections

5 months ago

Nashville, United States USPI Full time

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

#LI-SB1
#USP-123


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

  • Insurance Verification Representative

    4 weeks ago

    Nashville, United States Williamson Health Full time

    Summary We are looking for an Insurance Verification Representative to join our team at Williamson Health in Franklin, Tennessee. Our facility is committed to delivering world-class, compassionate care to the residents of Williamson County and surrounding communities. As an Insurance Verification Representative, you will be responsible for verifying...

  • Sr. Eligibility Verification and Benefit Specialist

    2 months ago

    Nashville, United States OneOncology Full time

    OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time...

  • Patient Services Representative- Pre-registration

    1 month ago

    Nashville, United States Nashville General Hospital Full time

    Description Role Expectations: Timely and accurate registrations, scheduling, complete benefit verification, patient education (regarding benefits), scanning, faxing, and appropriate authorizations, and referrals for services are the responsibility of the Patient Access Representative. Minimum Qualifications: Minimum of 2 yr work experience working in a...

  • Front Office Check-In and Check-Out

    2 months ago

    Nashville, United States SCRI Oncology Partners Full time

    Overview: SCRI Oncology Partners, located in Nashville, Tenn., is a dedicated cancer treatment center led by globally recognized oncologists with disease expertise in cancer care and clinical research. This center offers patients state-of-the art personalized cancer care and opportunities to participate in clinical trials with innovative treatments. They...

  • Licensing Associate

    2 months ago

    Nashville, United States Broadcast Music, Inc. Full time

    POSITION SUMMARY Performs research and development activities that support the goals of revenue generation, which includes delivery of new business leads for Licensing Sales, along with research and verification needs for the Licensing Customer Relations and Accounting & Finance Collections teams. LOCATION Nashville, TN office. BMI has transitioned back to...

  • Licensing Associate

    3 weeks ago

    nashville, United States Broadcast Music, Inc. Full time

    POSITION SUMMARY Performs research and development activities that support the goals of revenue generation, which includes delivery of new business leads for Licensing Sales, along with research and verification needs for the Licensing Customer Relations and Accounting & Finance Collections teams. LOCATION Nashville, TN office. BMI has transitioned back to...

  • Licensing Associate

    3 weeks ago

    Nashville, United States Broadcast Music Full time

    POSITION SUMMARY Scroll down the page to see all associated job requirements, and any responsibilities successful candidates can expect. Performs research and development activities that support the goals of revenue generation, which includes delivery of new business leads for Licensing Sales, along with research and verification needs for the Licensing...

  • Prior Authorization and Pre-Registration Manager

    4 weeks ago

    Nashville, United States IVX Health Full time

    Are you ready to lead a team that transforms patient care from the very first interaction?At IVX Health, we're seeking a dynamic Manager of Prior Authorization & Preregistration who is passionate about making a difference in patients' lives every day. In this pivotal role, you’ll oversee our patient access and intake functions, ensuring that patients...

  • Financial Counselor

    1 month ago

    Nashville, United States TriStar Centennial Medical Center Full time

    Description Introduction Do you want to join an organization that invests in you as a Financial Counselor? At TriStar Centennial Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits TriStar Centennial Medical Center, offers a total rewards...

  • Financial Counselor

    2 months ago

    Nashville, United States TriStar Centennial Medical Center Full time

    Description Flexible shift schedule 40 hours a week Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Financial Counselor opening with TriStar Centennial Medical Center today and find out what it truly means to be a part of the HCA Healthcare team. Benefits TriStar Centennial Medical...

  • HYBRID Medical Billing Specialist

    1 week ago

    Nashville, United States TEKsystems Full time

    Job DescriptionJob DescriptionHiring for a Hybrid Collections/AR Rep in Nashville, TN!!** Will become Hybrid after 4 months M-F 8am-5pmDescription:Primary responsibilities will be working the Medicare/Medicaid AR accounts for a multi-physician Oncology practice. Including processing insurance claims, reviewing EOB'S, submitting appeals, follow up with...

  • Analyst/Developer - Specialty 3

    4 months ago

    Nashville, United States Saxon Global Full time

    ETL (Matillion) Developer Understand your data sources. Follow the groups processes and strategy for developing the job. Handle data modeling, data warehouse architecture, data pipeline management, and ETL testing. Utilize various data warehousing fundamentals for setting up a data warehouse. Help to collect, manage, and analyze huge volumes of data...

  • Associate Director, Graduate Leadership Institute

    2 weeks ago

    Nashville, United States Vanderbilt University Full time

    Job Description Position Summary: The Associate Director of the Russell G. Hamilton Graduate Leadership Institute (GLI) develops and implements leadership and professional development curricula, programming, and funding opportunities for Graduate School students at Vanderbilt University. Reporting to the Vice Provost for Graduate Education, Dean of the...

  • Licensed Practical Nurse

    2 months ago

    Nashville, United States Della Infotech, Inc. Full time

    Currently licensed as a practical nurse with the State of Tennessee or holds a privilege to practice in the State of Tennessee under the Nurse Licensure Compact (NLC). Performs BLS (Basic Life Support), CPR (cardiopulmonary resuscitation), and other emergency responses. Provides health care support as directed by the immediate supervisor. Follows a...

  • Driver Route NonCDL-Shred Specialist

    1 month ago

    Nashville, Tennessee, United States Stericycle Inc. Full time

    Job SummaryThe Shred-it Route Driver is responsible for providing industry-leading levels of service to clients while taking care of all customer document destruction needs. This involves loading and unloading the delivery vehicle, ensuring all cargo is safely secured, and performing pre/post-trip checks.Key ResponsibilitiesPerform onsite/offsite document...

  • Licensing Associate

    3 weeks ago

    Nashville, TN, United States Broadcast Music, Inc. Full time

    POSITION SUMMARYPerforms research and development activities that support the goals of revenue generation, which includes delivery of new business leads for Licensing Sales, along with research and verification needs for the Licensing Customer Relations and Accounting & Finance Collections teams.LOCATIONNashville, TN office. BMI has transitioned back to...

  • Specimen Collector I

    6 days ago

    Nashville, United States Aegis Sciences Corp Full time

    Job DescriptionJob DescriptionThe Specimen Collector - Phlebotomy is responsible for collecting biological specimens (including blood) at client sites for the purpose of conducting scientific testing. Duties will include maintaining the integrity of the collection process, maintaining records for reporting purposes, obtaining initial insurance verification...

  • Specimen Collector I

    6 days ago

    Nashville, United States Aegis Sciences Corp Full time

    Job DescriptionJob DescriptionThe Specimen Collector is responsible for collecting biological specimens at client sites for the purpose of conducting scientific testing. Duties will include maintaining the integrity of the collection process, maintaining records for reporting purposes, obtaining initial insurance verification for billing purposes, and...

  • Specimen Collector I

    6 days ago

    Nashville, United States Aegis Sciences Corp Part time

    Job DescriptionJob DescriptionThe Specimen Collector is responsible for collecting biological specimens at client sites for the purpose of conducting scientific testing. Duties will include maintaining the integrity of the collection process, maintaining records for reporting purposes, obtaining initial insurance verification for billing purposes, and...

  • Specimen Collector I

    6 days ago

    Nashville, United States Aegis Sciences Corp Full time

    Job DescriptionJob DescriptionThe Specimen Collector is responsible for collecting biological specimens at client sites for the purpose of conducting scientific testing. Duties will include maintaining the integrity of the collection process, maintaining records for reporting purposes, obtaining initial insurance verification for billing purposes, and...