Insurance Verification Specialist

Summary

Join Surgical Notes as an Insurance Verification Specialist and contribute to efficient insurance verification, authorization, and patient communication. You will verify insurance coverages, determine patient responsibility, and communicate financial details. Success in this role requires excellent organizational and communication skills, the ability to work independently and as part of a team, and a positive attitude. The position is full-time, hourly, and offers benefits. Remote work is possible with sufficient bandwidth.

Requirements

• High school diploma or equivalent
• Minimum of one year's experience working with a healthcare provider
• A positive, open and friendly attitude to colleagues and clients
• Ability to accomplish tasks with little supervision
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
• Able to proactively identify non-covered services
• Comfortable with electronic and manual insurance verification
• Effective time management
• Knowledge of insurance coverages: commercial, workers' compensation, auto, Medicare/Medicaid
• Superior customer service and professionalism
• Working knowledge and experience with IPAs and health plans
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Outstanding communications skills; both verbal and written

Responsibilities

• Verify all insurance coverages; including commercial, workers' compensation, auto, and Medicare/Medicaid
• Determine patient responsibility
• Verify patient demographic information and update when necessary
• Identify patient primary, secondary and tertiary insurance coverage if available
• Contact each health plan to verify coverage, eligibility, authorization requirements and patient share of cost
• Verify plan selected in Patient Accounting System matches plan type based on information provided by the insurance company
• Professionally communicate financial responsibility to patient and make arrangements to pay amount due prior to service
• Obtain authorizations as needed
• Escalate issues to IV lead/manager, as appropriate
• Other responsibilities as assigned

Preferred Qualifications

• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• Strong Microsoft Office skills in Excel, Outlook, and Teams

Benefits

• Eligible for Benefits
• Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds