Underneath the supervision of the Center Leader or Office Manager, responsible for areas such as insurance verification, scheduling of surgical procedures, billing/coding/accounts receivable, accounts payable records or transcription of operative procedures. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public. QUALIFICATIONS: High School Diploma or GED One (1) year of experience preferred in an Ambulatory Surgery Center (ASC) Ability to s... more details
POSITION SUMMARY:
Underneath the supervision of the Center Leader or Office Manager, responsible for areas such as insurance verification, scheduling of surgical procedures, billing/coding/accounts receivable, accounts payable records or transcription of operative procedures. Promotes a favorable image of the Center to physicians, patients, insurance companies, and the general public.
QUALIFICATIONS:
High School Diploma or GED
One (1) year of experience preferred in an Ambulatory Surgery Center (ASC)
Ability to speak and understand the English language
Strong ethical and moral character references
Basic computer skills
ESSENTIAL DUTIES AND RESPONSIBILITIES:
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 call schedule log as needed
Speaks with patients regarding their insurance benefits
Works with the Physician practice to coordinate benefits and upfront call schedule 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 knowledge of Microsoft Excel and Outlook
Attends all required education
Regular, reliable and predictable attendance
Performs other duties as assigned
Verifies accuracy of patient’s insurance company name/address
Verifies accuracy of insurance payments received/posted
Verifies accuracy of adjustments
Understands and abides by billing compliance regulations
Loads patient statement forms into printer if needed
Inserts statements and return envelopes into mailing envelopes, applies postage and sends to patients
Receives calls related to patient bills, whether from patients or insurance companies
Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions
Forwards all questions regarding refunds to administrator
Forwards all complex/problem questions to administrator
Verify credit cards if used and issue appropriate duplicate receipts
Post all payments received from patient or insurance company to patient account
Complete deposit log for patient and insurance payments as needed
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