Job description

Urology Clinics of North Texas, P.A. was formed in 1999 by a merger of the practices of premier urology groups. We strive to provide highly positive medical outcomes, proven advanced technology and pharmaceuticals, deliver care in locations convenient to patients throughout the Dallas, Collin, Rockwall, and Tarrant County areas.

The Central Billing Office is seeking to fill the position of Medical Insurance Verification Specialist for the Surgery/special procedures department.

ESSENTIAL DUTIES OF THIS POSITION INCLUDE:

• Responsible for verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for multiple physicians and communicating patient responsibility prior to their scheduled appointment.
• Communicates with Physician’s MA to obtain clinical information as needed for precertification and/or predeterminations
• Documents benefits in insurance maintenance screen of medical billing system
• Contacts Patient to notify them of their portion for upcoming appointment
• Documents any communication made to patient in chart notes of medical billing system
• Documents amount to collect for upcoming visit within the patients appointment outside of any copayments
• Reviews the ledger for any outstanding balances and notifies collector via NexGen PM email
• Maintain department target date of 10 days out
• Answer incoming department call and assist patients with their benefit inquires & quotes
• Assist department with schedules in the event of an absence or staff shortage
• Rotating Kitchen & Fax Duty

Job Requirements:

• High School Diploma
• Knowledge of CPT Coding, ICD10 and use of appropriate modifiers
• ERM experience with NextGen is a plus
• Effective communication skills, including verbal, written and telephone
• Proficient in mathematical skills

• Able to multitask, be motivated and team player with positive attitude

• Experience with insurance verification of benefits as well as precertification, predeterminations and referrals.

• Urology and medical terminology knowledge is a plus.

Job Type: Full-time

Job Type: Full-time

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Supplemental pay types:

• Bonus pay

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 2 years (Required)
• Medical billing: 2 years (Required)

Work Location: In person

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