Insurance Verification And Benefits Specialist

Springfield, OR, United States

Job Description


Oregon SurgiCenter has a FT Business Office Float opportunity available.Oregon Urology Institute and Oregon SurgiCenter is one of the largest, most advanced urological centers in the Northwest. Oregon Urology Institute provides patients with some of the region's finest medical experts covering every major urological specialty using proven and leading-edge technologies.GENERAL DESCRIPTION:This role is primarily responsible for obtaining complete and accurate cost estimates, along with insurance benefits and financial waivers, prior to services being rendered at Oregon SurgiCenter. This includes assisting pre-registration and handling prepayment requests when applicable.Essential Job Functions:

  • Verify Insurance and demographics of all scheduled patients.
  • Conduct benefit inquiries to determine estimated out-of-pocket expenses.
  • Notify patient of prepayment requirements and follow up as needed.
  • Contact insurance carriers to obtain necessary benefit information.
  • Assist with procedure prior authorization checks as needed and ensure financial waivers are prepared when required.
  • Deals with insurance company representatives and others in a professional manner.
  • Provide Good Faith Estimates to self-pay patients.
  • Stay informed on insurance policies and practices for Insurance Verification and Benefits.
  • Communicate daily with other departments to ensure scheduled and add-on services are covered.
  • Foster positive relationships with Billing, Scheduling, Reception and Clinical Staff.
  • Adhere to HIPAA guidelines to ensure patient confidentiality.
  • Perform other duties and special projects as assigned by Supervisor or Manager.
REQUIRED QUALIFICATIONS:
  • Knowledge of CPT & ICD10 coding and insurance reimbursement practices
  • Ability to review, understand and extract relevant information from EMR.
  • Strong communication skills, both written and verbal. Is courteous, cooperative understanding and empathetic towards patients, coworkers, and others.
  • Attention to detail and ability to multitask in a demanding environment with good organizational skills.
  • Ability to work both independently and as a team.
  • Desire to strengthen skills and learn.
  • Equivalent of a high school diploma
PREFERRED QUALIFICATIONS:
  • Experience working in a Windows based EMR/PM
  • Minimum of 1 - 3 years' experience working in a related medical role preferred
  • Medical terminology and knowledge of surgical procedures.
  • Working knowledge of healthcare insurance
  • BLS Certification Required
CONTACTS
  • Patients
  • Physician Office Personnel
  • Insurance Company Representatives
  • Facility Personnel
WORKING CONDITIONS
  • Sitting, standing, and walking
  • Ability to speak and hear clearly.
  • Ability to read and communicate concisely via written communications.
  • Uses telephone often.
  • Environmental- well-lighted and ventilated with non-hazardous equipment.
This is a full-time position. No nights or weekends. We offer a competitive wage, DOE. Oregon SurgiCenter offers employees fully employer paid life, health, dental and vision, 6 paid holidays, generous PTO, voluntary benefits, and an outstanding retirement. Please apply!Oregon SurgiCenter is an equal opportunity employer that is committed to fair and impartial treatment of employees, job applicants, and contractors, and to maintaining a discrimination and harassment-free work environment where people treat one another with respect. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Oregon Surgi Center

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Job Detail

  • Job Id
    JD4414193
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Springfield, OR, United States
  • Education
    Not mentioned