***Hiring Now Insurance Verification Rep I

Department

Patient Access_Corp

Job Summary

Sarasota Memorial Health Care System is a non-profit hospital located in the beautiful city of Sarasota, Florida. From our upper floors, you can see the beautiful white sand beaches of Siesta Key, the #1 rated beach in the United States. Our health care system is rapidly growing. We have recently built an additional hospital in Venice, Florida, have added a new Cancer Institute on our Sarasota campus, and are planning a new hospital location in North Port, Florida. The positions we post are additions, not replacements. If you are looking for a place to call home, where people matter, we may be the right fit for you.

Responsible for obtaining accurate health insurance benefits verification of eligibility status and assist with authorizations using electronic verification systems or by contacting payers directly to determine level of insurance coverage. Ensures the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible. Identifies copayments, coinsurance, and policy limitations, and advises patient and collects amount before the time of service. Follows up on missing authorizations. If authorization is not obtained within 48-hours prior to service, contacts patient to advise them of their options for rescheduling/follow-up with physician’s office or proceeding without authorization.

Required Qualifications

• Require a minimum of one (1) to two (2) years of medical insurance verification / authorizations experience.
• Require a general knowledge of medical terminology.

Preferred Qualifications

• Prefer typing skills minimum thirty (30) words per minute.
• Prefer working knowledge of ICD-9/ ICD-10 and CPT coding.
• Prefer demonstrated excellent customer service skills and phone etiquette skills.
• Prefer basic working knowledge of commonly used computer applications.
• Prefer general knowledge of medical terminology.
• Prefer the ability to communicate clearly and effectively; excellent written skills and spelling/grammar.
• Prefer experience in patient interviewing.
• Prefer prior demonstrated customer-centered service experience and ability to be flexible with changing priorities, demands and requests.
• Prefer demonstrated flexibility and adaptability.
• Prefer strong organizational skills.

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Pay Range: $19.10/hr. to $28.60/hr.

Preferred Education

AD: Associate's Degree

Preferred License and Certs

CHAA: Certified Health Access Assoc

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.

• Highest 5-Star rating from Medicare for quality and safety
• Straight "A's" for Patient Safety
• SMH is also listed among U.S. News “Best Hospitals for Maternity” for 2021-2022; the only hospital in the region to make the list.
• One of the nation's 100 Top Hospitals, 40 Top Teaching Hospitals and 50 Top Cardiovascular Hospital
• Listed among U.S. News' 50 Best Hospitals for Rehabilitation Services and Specialized Urology Care, 2022 - 2023
• Forbes' Best Employers for Women
• Named among the World’s Best Hospitals by Newsweek, 2019-2022

The benefits of being the best:

Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:

Total Rewards Package

• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Disability Insurance
• Retirement Savings Plan: 403b
• Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 10% discount
• Credit Union w/ teller machines on campus
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Recognition Programs
• Referral Programs
• Tremendous growth opportunities for hard workers!

Employment Screening Requirements

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/

• Require a minimum of one (1) to two (2) years of medical insurance verification / authorizations experience.
• Require a general knowledge of medical terminology.
• Prefer typing skills minimum thirty (30) words per minute.
• Prefer working knowledge of ICD-9/ ICD-10 and CPT coding.
• Prefer demonstrated excellent customer service skills and phone etiquette skills.
• Prefer basic working knowledge of commonly used computer applications.
• Prefer general knowledge of medical terminology.
• Prefer the ability to communicate clearly and effectively; excellent written skills and spelling/grammar.
• Prefer experience in patient interviewing.
• Prefer prior demonstrated customer-centered service experience and ability to be flexible with changing priorities, demands and requests.
• Prefer demonstrated flexibility and adaptability.
• Prefer strong organizational skills.