Insurance Verifier/Biller (18261-147)

United Surgical Partners International Hackensack , NJ 07601

Posted 6 days ago

Description:

We are a busy, multispecialty ambulatory surgery center, performing outpatient procedures in Orthopedics, Otolaryngology, Pain Management, Podiatry, and Urology. We are an affiliate of United Surgical Partners International and our mission is to treat each patient and every family as if they were our own. Each patient, each family, each and every time. If you share our mission, please reach out to discuss joining our team.

We are currently searching for an Insurance Verifier to join our team. The Insurance Verifier contacts all insurance companies to verify description of patient(s) medical plan benefits Estimates patient financial responsibilities. Interacts with physicians, personnel, and patients regarding financial issues.

Job Duties include:

  • Contacts all insurance carriers per patient, to insure proper coordination and reimbursement of benefits.

  • Breaks down managed care contract reimbursements and estimates patient(s) financial responsibilities.

  • Works closely with physician offices and patients to provide accurate patient financial responsibilities and to ensure scheduled procedures/admissions have proper pre-authorization.

  • Interacts appropriately and effectively with all patient/others regardless of age or ethnic background.

  • Initiates safe practices and is knowledgeable about current center policies and procedures. Specific procedures and practices related to pain management, abuse and neglect, sentinel events and response, variance reporting, response to sentinel event alerts, participation in root cause analysis and other key policies and procedures is required.

  • Assists with environmental hazard and infection control surveillance participate in emergency preparedness drills.

  • Follows all equipment safety guidelines and is personally responsible for knowledgeable use and care for all business equipment.

  • Enters charges for all coding from the day prior.

  • Pays attention to Managed care grid in order to bill out for correct re-imbursements for CPT codes and carveouts.

Required Skills:

  • High school diploma or GED certification

  • Great attitude

  • Proficient typing/ keyboarding skills

  • Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/ referral requirements

  • 2 Years of medical insurance verification REQUIRED

Location:

Hackensack, NJ

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:

2 years experience with Medical Insurances

Prefer previous experience working with Advantx. (Patient Accounting System)

Ability to work independently.

Excellent collunication skills and interpersonal skills.

Skilled in time management and prioritization of emergent situations.

Good customer service skills, always demonstrates professionalism.

Comfortable utilizing critical thinking skills.

Typing 45-60 WPM.

High School Diploma or equivalency.

Proficient with Microsoft Office products.

Experience with electronic patient information systems.

Prefer previous experience with Electronic Health Record system, but will train.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Medical Biller/Insurance Verifier (8391147)

United Surgical Partners International

Posted 7 months ago

VIEW JOBS 2/28/2020 12:00:00 AM 2020-05-28T00:00 Multi-specialty Surgical Center looking for a driven, hard working individual to join our team. This individual needs to be able to multi-task and be very organized. Background and credit check will be done before start date. Billing/insurance verification experience is a must in order to apply. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Verification of insurances via Navinet, encircle, and other insurance websites. Obtaining authorizations, Calling insurances for benefits, understanding insurance contracts. Calculating patient responsibilities, calling patients to go over financial responsibility. Ability to be able to understand patient billing inquiries. After patient transactions have been properly coded, create billing batches. Review information from the patient''s file on system chart. Verify insurance coverage. Bill per procedure and appropriate contract. Verify procedures and check modifiers. Write off per USPI policy and surgery center guidelines. Calculate correct fee and process billing transactions. Print bills. Post billings. Send bills. Requirements KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS: High school diploma or equivalent. Healthcare background preferred. Six months of related experience and/or training. Or Equivalent combination of education and experience. Accounting and math skills. Computer competency. Reasoning ability. Basic coding knowledge. WORKING CONDITIONS: Working environment is representative of the essential functions of the job. Physical demands require employee to sit and answer the phone for extended periods of time. Requirements Qualification Requirements: * High School Diploma or equivalent. * Excellent communication skills using proper English grammar. * Minimum 2 years of billing experience. * Familiar with patient accounting software, especially AdvantX. * Ability to read and understand insurance explanations of benefits and managed care contracts * Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook. * Bilingual a plus. Required Skills Requirements Qualification Requirements: * High School Diploma or equivalent. * Excellent communication skills using proper English grammar. * Minimum 2 years of billing experience. * Familiar with patient accounting software, especially AdvantX. * Ability to read and understand insurance explanations of benefits and managed care contracts * Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook. * Bilingual a plus. United Surgical Partners International Hackensack NJ

Insurance Verifier/Biller (18261-147)

United Surgical Partners International