Medical Billing / Collections / Insurance Verifier

Gamma Surgery Center is hiring for a full time Medical Billing / Collections / Insurance Verifier!

Welcome to Gamma Surgery Center

At Gamma Surgery Center, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Our facility is accredited by The Joint Commission

Medical Billing / Collections / Insurance Verifier at Gamma Surgery Center

Under the supervision of the Business Office Manager, the ideal candidate will work as a medical biller, collections and verify insurance benefits.

Billing Collections – The Medical Billing Collections is responsible for follow up on delinquent surgery services claims, working an expected number of claims per day. Majority of claims will have been submitted to various insurance carriers electronically. Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. Extensive contact with insurance carriers of all types, as well as communication with patients regarding out of pocket amounts is required. Identification of accounts that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient.

Insurance Verifier – Review Patient information and procedure(s) being performed. Verify insurance benefits by reviewing patient benefits with payer via phone or on-line.   Determine estimated amount. Enter all information onto the Insurance Verification Sheet . Contact patients regarding money due prior to date of surgery. Attempt to pre-collect from patient. Verify is pre-auth or precertification is needed and obtain. Reconcile each day to ensure you have verified all patients. Responsible for patient satisfaction daily as it relates to patient surveys and overall satisfaction with interactions.

Qualifications

• High school graduate or equivalent.
• 1+ years of medical billing collections experience.
• 1+ years of insurance verification experience.
• CPT / HCPCS - ICD 10 knowledge.
• Ability to read and comprehend complex instructions, remittance advices, EOB’s, UB’s.
• Medical terminology and computer experience.
• Proficient computer software skills (Microsoft Office Products including Excel & Outlook).
• Excellent communication skills.

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.

Required Skills

Required Experience