Insurance Verification Specialist

Surgical Notes is hiring for an Insurance Verification Specialist to assist with insurance verification, authorization, and pre-service patient communication for all carrier types. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude.  

External Title: Insurance Verification Specialist  
Internal Title: US RCM Individual Contributor II 

Reports to: Insurance Verification Manager 

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 

Role Information: 

• Full-Time
• Hourly
• Exempt
• 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. 

Job Requirements: 
Required Knowledge, Skills, Abilities, Education 

• 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 

 Preferred Knowledge, Skills, Abilities, Education 

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

 Physical Demands: 

• Sitting and typing for an extended period of time 
• Reading from a computer screen for an extended period of time 
• Speaking and listening on a telephone 
• Working independently 
• Frequent use of a computer and other office equipment 
• Work environment of a traditional fast-paced and deadline-oriented office 

Key Competencies 

1. Customer Service 
2. Attention to Detail 
3. Communication 
4. Initiative/Execution 
5. Organization