Insurance Verification Specialist FT (Onsite)

Northwest ASC - Portland has an immediate need for an Insurance Verification Specialist to join our team!

Job Summary: Verify insurance benefits and determine estimated amount due based on Insurance Contract and procedure(s) being performed.

• This position exists to identify patient's In and Out-of-network benefits and subsequent out-of-pocket expense prior to services being performed at the center.
• Obtains insurance information. Confirms with insurance company that we have the correct billing information for the patients as well as correct claims address.
• Verifies that authorization has been obtained for the date of surgery by the doctor's office, and follows-up with doctor's office if authorization has not been obtained. Obtains authorizations if needed.
• Works with Surgeons office to obtain additional information or clarify. If information needs to be corrected, insurance verifier corrects and prints new forms.
• Informs Business Office Manager or Administrator of any cases that may not be able to be done at the facility due to the insurance coverage and seeks approval or cancellation.
• Verify all information obtained is correctly documented in the patients account, in the correct format.
• Calculate patient responsibility according to their benefits and our contract with that particular insurance company. Mail quote letter to patient, file copy in patients chart. Call patient, confirm the information we have for them is correct. Inform patient of the amount due and that it is due on or before DOS. Explain our billing policies if needed to the patient.
• Cross-train for front desk to provide break and lunch coverage.
• Other duties as assigned by the Business Office Manager.

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.

For more information about USPI, check out our website

Required Skills:

• High School diploma or equivalent.
• 1 year of year of medical insurance verification.
• Skill in computer applications and use of calculator.
• Ability to perform mathematical computations and compute ratios and percentages.
• Knowledge of word processing programs.
• Ability to examine documents for accuracy and completeness.
• Ability to prepare records in accordance with detailed instructions.
• Ability to communicate clearly.
• Ability to work efficiently and productively.
• Ability to maintain confidentiality of sensitive information.
• Skill in establishing and maintaining effective working relationships with other employees, patients, clients, insurance organizations, and the public.
• Ability to work independently; manage multiple practices and multiple priorities, and to work swiftly but accurately.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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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