Insurance Verification

United Surgical Partners International; Florida; On-site; USD 42,000 - 55,000; Full time

Job summary

United Surgical Partners International seeks an Insurance Verifier at Treasure Coast Center for Surgery to join a busy ambulatory surgery center. You will verify benefits, estimate patient financial responsibilities, and secure pre-authorizations in collaboration with physicians and staff.

Responsibilities include contacting insurers, coordinating with patients, and ensuring accurate benefit information while adhering to center policies and safety guidelines.

Qualifications

• High school diploma or GED required.
• CPR certification required.
• Strong knowledge of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements.
• Proficient typing/keyboarding skills.

Responsibilities

• Contacts all insurance carriers per patient to verify benefits and reimbursement.
• Estimates patient financial responsibilities and coordinates with physicians and patients.
• Works with physician offices to obtain pre-authorizations and referrals.
• Interacts with patients and staff with respect to financial issues.
• Maintains knowledge of center policies and infection control practices.

Skills

Typing skills

Medicare knowledge

Communication

Education

High school diploma

GED

Tools

CPR Certification

Job description

Insurance Verification, Full Time

Treasure Coast Center for Surgery has been serving the Treasure Coast area for 20 years. We are a busy, multispecialty ambulatory surgery center, performing outpatient procedures in Endoscopy, Gynecology, Orthopedics, Ophthalmology, Pain Management, Podiatry, and Urology. We are an affiliate of United Surgical Partners International and our mission is to treat each patient and every family as if they were our own. Each patient, each family, each and every time.

We are currently searching for an Insurance Verifier to join our team. The Insurance Verifier contacts all insurance companies to verify description of patient(s) medical plan benefits Estimates patient financial responsibilities. Interacts with physicians, personnel, and patients regarding financial issues.

Job Duties include:

• Contacts all insurance carriers per patient, to insure proper coordination and reimbursement of benefits.
• Breaks down managed care contract reimbursements and estimates patient(s) financial responsibilities.
• Works closely with physician offices and patients to provide accurate patient financial responsibilities and to ensure scheduled procedures/admissions have proper pre-authorization.
• Interacts appropriately and effectively with all patient/others regardless of age or ethnic background.
• Initiates safe practices and is knowledgeable about current center policies and procedures. Specific procedures and practices related to pain management, abuse and neglect, sentinel events and response, variance reporting, response to sentinel event alerts, participation in root cause analysis and other key policies and procedures is required.
• Assists with environmental hazard and infection control surveillance participate in emergency preparedness drills.
• Follows all equipment safety guidelines and is personally responsible for knowledgeable use and care for all business equipment.

Qualifications:

• High school diploma or GED certification
• Great attitude
• CPR Certification
• Proficient typing/ keyboarding skills
• Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/ referral requirements

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare 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.

• 1 Year of medical insurance verification REQUIRED