Northern Monmouth Regional Surgery Center has an immediate need to for a full time Insurance Verifier/Billing Collector. At Northern Monmouth Regional 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 Accreditation Association for Ambulatory Health Care.

Job Summary: 

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.
• Post all insurance and billing comments.
• Enter all information onto the Insurance Verification Sheet (USPI Form)
• 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.
• Let BOM know of any discrepancies, difficult patients or patients noting unwillingness to pay before or at time of surgery.

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.

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.

For more information about USPI, check out our website

• Minimum 2 years of experience in medical insurance verification and billing collections 
• High school graduate or equivalent
• Excellent communication skills and the ability to communicate with patients over the phone and in person
• Medical Terminology experience preferred
• CPT/HCPCS - ICD 10 knowledge.
• Ability to read and comprehend complex instructions, remittance advices, EOB’s, UB’s.
• Must have the skills necessary to operate the office equipment required to fulfill job duties.
• Familiar with patient accounting software, especially AdvantX.
• Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.
• Ability to read and understand insurance explanations of benefits and managed care contracts

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.  If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.  If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.