Benefits Specialist

Verification Specialist

The Surgery Center of Middle Tennessee

We are currently searching for a (Full-Time) Verification Specialist to work Mondays – Fridays (8:30-5:00 in person) who can work cooperatively with staff and physicians and perform a variety of tasks.  This position is responsible for the daily functions of the insurance verification process, which includes verifying benefits, checking patient eligibility to determine coverage, and notifying patients of their financial obligations, as well as ensuring that money will be collected the day of surgery.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews and maintains records to ensure accuracy
Enters data electronically to process patient information
Maintains all patient records
Abstract clinical information from a variety of medical records
Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations
Manages proper submission of documents in a timely fashion
Attends in-services, seminars, and webinars for additional education and performance improvement
Reviews insurance benefits and insurance requirements on all new patients prior to surgery
Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information (phone or electronically)
Determines if the patient can be seen at the ASC based on their insurance coverage
Updates the upfront collections log as needed
Meets with patients regarding their insurance benefits
Works with the Physician practice to coordinate benefits and upfront collections where needed
Completes verification in a timely manner to allow time for patient liability calls
Contacts patients with patient liability information
Makes arrangements for patient payments based on center guidelines
Strong experience with 10-key
Types a minimum of 40 wpm
Strong knowledge of Microsoft Excel and Outlook
Attends all required education
Regular and predictable attendance
Performs other duties as assigned
Cognitive Skills
Exhibit mental alertness for quality decision making and exercising good judgment
Ability to multi-task effectively, efficiently, accurately, and with attention to details
Ability to recognize/define problems, collect data/facts, draw valid conclusions, and correct errors
Ability to interpret instructions in a variety of forms and deal with abstract and concrete variables
Communication
Ability to effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient care
Ability to respond to questions and professionally interact verbally and/or written with managers, co-workers, patients, and the general public
Teamwork
Work well with others – be a team member
Report observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer or other designated person, following the Chain of Command
Participate in staff meetings, in-services, and continuing education as required
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages
LANGUAGE SKILLS:
Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions, and professionally interact with healthcare team, clients, vendors, and the general public.
REASONING ABILITY:
Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and dealt with abstract and concrete variables.
PHYSICAL DEMANDS:
Ability to stand and walk for 6-8 hours per day
Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight
Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without
"giving out” or fatiguing
Ability to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position
Ability to exert yourself physically over long periods of time without getting winded or out of breath
Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears
Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus
WORK ENVIRONMENT:
Days and hours of work may vary to meet patient needs
The Center provides preoperative beds, procedure rooms, and post-procedure beds
The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs, such as laser rooms and some OR/Procedure rooms
Staff will work with medical and office equipment, some of which will have moving parts
Noise level is usually quiet to moderate
Staff may have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutions
The Center procedure rooms are often small, and due to equipment may have little room to work around and may necessitate reaching, pulling, pushing
Staff will work in close proximity to patients and co-workers

You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (REQUIRED), and knowledge of Microsoft Word/Excel.

If you are interested in working in an environment that provides exceptional patient care, please apply online or send resume to: [email protected]

Apply Now! Come Join our Team! We offer Competitive Pay, Medical, Dental and Vision Plans

Plus, Work/Life balance by Paid Time Off

Effective November 1, 2021, AMSURG’s Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other.

Must pass a background check and drug screen.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

We are an equal opportunity employer.