Verification Specialist

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Verification Specialist

Amsurg

icon Lake Bluff, IL, US, 60044

iconFull Time

icon7 November 2024

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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, preferably in an Ambulatory Surgery Center (ASC) 
Experience in Endoscopy/Multi-specialty/Ophthalmology/ASC  
Ability to speak and understand the English language  
Strong ethical and moral character references   
Basic computer skills     
       
ESSENTIAL DUTIES AND RESPONSIBILITIES:   
       
Reviews and maintains records to ensure accuracy   
Enters data electronically to process patient information  
Maintains all patient records     
Abstract clinical information from a variety of medical records  
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 collections log as needed   
Meets with patients regarding their insurance benefits   
Works with the Physician practice to coordinate benefits and upfront collections 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 experience with 10-key    
Types a minimum of 40 wpm     
Strong knowledge of Microsoft Excel and Outlook   
Attends all required education    
Regular and predictable attendance    
Performs other duties as assigned    
       
Cognitive Skills      
Exhibit mental alertness for quality decision making and exercising good judgment
Ability to multi-task effectively, efficiently, accurately, and with attention to details
Ability to recognize/define problems, collect data/facts, draw valid conclusions, and correct errors
Ability to interpret instructions in a variety of forms and deal with abstract and concrete variables
       
Communication      
Ability to effectively communicate patient care needs and significant information to healthcare team to
promote continuity of patient care    
Ability to respond to questions and professionally interact verbally and/or written with managers, co-workers,
patients, and the general public    
       
Teamwork      
Work well with others – be a team member   
Report observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer
or other designated person, following the Chain of Command  
Participate in staff meetings, in-services, and continuing education as required 
       
MATHEMATICAL SKILLS:     
       
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions,
decimals, and percentages     
       
LANGUAGE SKILLS:      
       
Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required.  Ability to read,
analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental
regulations.  Ability to successfully write business correspondence.  Ability to effectively present information,
respond to questions, and professionally interact with healthcare team, clients, vendors, and the general public.
       
REASONING ABILITY:     
       
Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions,
and
correct errors.  Ability to understand and interpret basic financial data. 
Ability to interpret a variety of instructions
in a variety of forms and dealt with abstract and concrete variables.    
       
PHYSICAL DEMANDS:     
       
Ability to stand and walk for 6-8 hours per day   
Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight
Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without
"giving out” or fatiguing     
Ability to perform physical activities that require considerable use of your arms and legs and moving your whole
body, such as climbing, lifting, balancing, walking, stooping, and handling of materials. 
Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one
position
Ability to exert yourself physically over long periods of time without getting winded or out of breath
Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears
Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to
adjust focus      
       
WORK ENVIRONMENT:     
       
Days and hours of work may vary to meet patient needs  
The Center provides preoperative beds, procedure rooms, and post-procedure beds
The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to
meet patient care needs, such as laser rooms and some OR/Procedure rooms 
Staff will work with medical and office equipment, some of which will have moving parts
Noise level is usually quiet to moderate    
Staff may have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and
cleaning solutions      
The Center procedure rooms are often small, and due to equipment may have little room to work around and may
necessitate reaching, pulling, pushing    
Staff will work in close proximity to patients and co-workers  

Effective November 1, 2021, AMSURG’s Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities and each other.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.