Regional Insurance Verification Specialist

🔥 14 hours ago

⛷️ Utah – Remote

⛷️ Utah – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Surgery Partners, Inc

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2004

🏥 Healthcare

👥 B2C

Healthcare • B2C

Surgery Partners, Inc. is a leading operator of surgical facilities and ancillary healthcare services in the United States. The company owns and operates more than 300 locations across 30 states, including ambulatory surgery centers, multi-specialty physician practices, and anesthesia services, and serves roughly 670,000 patients annually. Surgery Partners employs a large workforce (about 16,000 employees) and works with approximately 5,000 affiliated physicians, offering flexible partnership arrangements (partner, affiliate, or employed) and an integrated delivery model focused on creating value for patients, physicians, and payors.

📋 Description

• Maintain all records with absolute integrity and in compliance with applicable regulations and requirements • Obtain or update required referrals and authorizations via phone, fax, and online systems • Review daily reports for patients requiring authorizations, pre-notification, and insurance benefit verification • Perform accurate data entry in a fast-paced environment • Update patient accounts with insurance verification details • Coordinate with patients regarding their insurance benefits • Identify deductibles, co-pays, and self-pay accounts • Notify appropriate staff when treatment or service is denied • Assist the manager and other staff with account questions • Plan and accomplish goals using experience and judgment • Perform other duties as assigned

🎯 Requirements

• Knowledge of revenue cycle in healthcare • Knowledge of clinic policies and procedures • Knowledge of managed care contracts and utilization • Knowledge of computer systems, programs, and spreadsheet applications • Knowledge of medical terminology • Knowledge of CPTS/ICD-9 • Skill in gathering and reporting claim information • Skill in solving utilization problems • Skill in written and verbal communication and customer relations • Ability to work effectively with billing and medical staff and external agencies • Ability to identify, analyze and solve problems • Ability to practice time management • Ability to prioritize and stay organized • Data entry accuracy in a fast-paced environment • Appropriate telephone and secure internet connections suitable to meet role requirements • Quiet, private workspace to maintain confidentiality • Availability during scheduled work hours and for required training and meetings via Teams

🏖️ Benefits

• Comprehensive health, dental, and vision insurance • Health Savings Account with an employer contribution • Life Insurance • PTO • 401(k) retirement plan with a company match