Full-Time Surgical Insurance Verifier & Pre-Certification

Talentify; Dallas (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

North Central Surgical Center in Dallas, TX is seeking a Full-Time Insurance Verifier in our Business Office Department to support patient eligibility, verify benefits, obtain authorizations, and ensure correct billing for surgeries and implants.

Responsibilities include checking demographic accuracy, contacting insurance carriers, interpreting managed care contracts, calculating deductibles and copays, and notifying patients of amounts due before procedures.

Qualifications

• Minimum two years' experience in insurance verification & pre-certification for surgeries and medical terminology preferred.
• Strong knowledge of Government and State Medical plans.
• Strong Knowledge of Managed Care Contract.
• Communication skills: ability to effectively present information to patients, physicians, and other employees of surgery center.
• Proficient in computers and relevant software applications
• Basic math skills
• Provide exceptional customer service
• Cerner experience preferred.

Responsibilities

• Retrieves patient information, verifying patient information accuracy (name, D.O.B., gender, etc.).
• Verifies patient insurance benefits by contacting carriers or online websites.
• Obtain authorizations, pre-certifications, referrals as needed.
• Ensure high cost implant/supply or equipment rental is included on authorization.
• Check approved procedure lists/medical policies.
• Calculate patient deductibles and/or copays and enter into billing system.
• Inform patients of amounts due prior to surgery.
• Determine patient responsibility for payment.
• Fill out verifications sheet and upload to charts.
• Assist front end staff with eligibility and patient responsibility.
• Answer calls and assist patients with benefits inquiries & quotes.

Skills

Insurance verification

Pre-certification

Medical terminology

Government plans

Managed care contract

Communication skills

Computer literacy

Basic math

Customer service

Tools

Cerner

Job description

North Central Surgical Center in Dallas, TX is seeking a Full-Time Insurance Verifier in our Business Office Department to support patient eligibility, verify benefits, obtain authorizations, and ensure correct billing for surgeries and implants.

Responsibilities include checking demographic accuracy, contacting insurance carriers, interpreting managed care contracts, calculating deductibles and copays, and notifying patients of amounts due before procedures.