Arizona Spine and Joint Hospital is looking for an experienced Insurance Verification and Collections Specialist. Arizona Spine and Joint Hospital is a physician owned surgical hospital specializing in Orthopedic surgeries.

Under the direction of the Business Office Manager, the Insurance Verification and Collections Specialist will be responsible for:

• Verifies patient hospital benefits and eligibility, authorization requirements, notification of admission requirements, Blue Distinction Center requirements, and coordination of benefits, for scheduled procedures, add-on procedures, and direct admit procedures.
• Enters and maintains detailed electronic data per the established department criteria.
• Coordinates with Case Management and Coders to review upcoming procedures for correct admitting status and procedure codes.
• Confirms scheduled procedure/CPT codes appropriate for admit status and per payer requirements.
• Monitors and follows up on pending authorizations of upcoming surgical cases.
• Prepares patient estimates, and ensures they are ready in a timely manner for Admitting.
• Monitors the daily operation of the revenue cycle and all billing and collections function. 
• Resolves error reports associated with the billing process

Collections: Ensures collection duties are accurately performed in completion of, but not limited to, the following areas:

• • use of Meditech system; posting of payments from EOBs
  • posting of adjustments and write-offs on accounts
  • account follow-up on all types of payers
  • receiving and working with patient calls
  • resolving problem accounts
  • managing correspondence and verification of payments as it relates to managed care contracts. 

• Demonstrated verbal communication skills for contacting payers, patients and coworkers.
• Willingness to accept other duties as assigned.
• Demonstrated computer skills in utilizing word processing, integrated database and other functions.
• Demonstrated ability to utilize and understand mathematical calculations.
• Ability to use office machines and telephone systems.
• Demonstrated knowledge of medical terminology.
• Prior experience in collection of accounts preferred.

Benefits:

• Hybrid Schedule: Split time between the hospital and work from home!!
• Medical, Dental, Vision
• Generous PTO Plan
• Sick Time
• 7 Paid Holidays
• 401k w/matching
• Employer Paid Life Insurance
• Employee Paid Life Insurance
• Short Term Disability
• Long Term Disability
• Breakfast and lunch served daily
• and much more!!