Benefits Specialist

Verification Specialist

The Surgery Center of Middle Tennessee

We are currently searching for a (Full-Time) Verification Specialist to work Mondays – Fridays (8:30-5:00) who can work cooperatively with staff and physicians and perform a variety of tasks. This position is responsible for the daily functions of the insurance verification process, which includes verifying benefits, checking patient eligibility to determine coverage, and notifying patients of their financial obligations, as well as ensuring that money will be collected the day of surgery.

• 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

• 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

• 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

• 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

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages

• 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

• 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

• 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…