Insurance Verification & Authorization Specialist

United Surgical Partners International, Inc; Memphis (TN); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Life and AD&D coverage

Disability insurance

401(k) retirement plan

Paid holidays and vacation

Job summary

St. Francis Surgery Center, operated by United Surgical Partners International, Inc, seeks a Full-Time Insurance Verification Coordinator to verify insurance coverage, obtain authorizations, and communicate financial responsibility prior to procedures.

This in-person role collaborates with scheduling, clinical, and billing teams to keep procedures on track. The ideal candidate has strong communication and organizational skills, familiarity with EMR/PM systems, and experience in the revenue

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Experience in insurance verification, patient registration, medical billing, or revenue cycle operations.
• Knowledge of commercial insurance, Medicare, Medicaid, and authorization requirements.
• Strong communication, organizational, and customer service skills.
• Proficiency with electronic medical records and practice management systems.
• Ability to manage multiple priorities in a fast-paced ambulatory surgery center environment.

Responsibilities

• Verify patient insurance eligibility, benefits, deductibles, copayments, coinsurance, and out-of-pocket responsibilities prior to scheduled procedures.
• Obtain required prior authorizations, referrals, and pre-certifications to ensure procedures are approved before the date of service.
• Communicate effectively with insurance companies, physician offices, and patients to resolve coverage issues and insurance discrepancies.
• Educate patients regarding estimated financial responsibility, including copays, deductibles, and non-covered services.
• Collaborate with scheduling, clinical, business office, and physician office staff to ensure all insurance requirements are met and procedures proceed as scheduled.
• Maintain accurate and up-to-date patient records, authorization information, and insurance verification documentation within applicable systems.
• Monitor authorization and verification activities to help prevent insurance denials and reimbursement delays.
• Assist with the investigation and resolution of insurance-related denials, authorization discrepancies, and payer issues in collaboration with the billing team.
• Support smooth patient registration, check-in, and revenue cycle processes through timely and accurate insurance verification.
• Perform additional clerical and administrative duties as assigned to support business office operations.

Skills

Insurance verification

EMR/PM systems

Communication

Organizational skills

Customer service

Multitasking

Medical billing

Education

High school diploma or equivalent

Associate degree preferred

Tools

EMR systems

Job description

St. Francis Surgery Center, operated by United Surgical Partners International, Inc, seeks a Full-Time Insurance Verification Coordinator to verify insurance coverage, obtain authorizations, and communicate financial responsibility prior to procedures.

This in-person role collaborates with scheduling, clinical, and billing teams to keep procedures on track. The ideal candidate has strong communication and organizational skills, familiarity with EMR/PM systems, and experience in the revenue