Insurance Verification Clerk

United Surgical Partners International; Rockville (MD); On-site; USD 35,000 - 42,000; Full time

Benefits offered by this job

Medical insurance

Paid time off

401(k) retirement plan

Paid holidays

Health Savings Accounts

Job summary

Piccard Surgery Center is seeking a detail-oriented Insurance Verification Clerk to join our team on-site. You will verify insurance benefits, secure authorizations, estimate patient financial responsibility, and maintain clear communication with patients throughout the pre-surgical process.

Responsibilities include reviewing demographics and coverage, calculating patient responsibility, obtaining necessary approvals, and documenting all verification details in the system.

Qualifications

• Minimum of 2 years of insurance verification experience in a healthcare or surgical setting.
• High school diploma or equivalent required.
• Strong understanding of medical terminology and healthcare insurance processes.
• Excellent verbal and written communication skills with the ability to interact effectively with patients, physicians, and payers.
• Experience working with patient accounting and practice management systems.
• Proficiency with Microsoft Office applications, including Outlook, Excel, and Word.

Responsibilities

• Review patient demographics, insurance coverage, and scheduled procedures to ensure accurate benefit verification.
• Identify implant requirements and verify associated coverage when applicable.
• Verify insurance eligibility and benefits through payer websites and direct communication with insurance carriers.
• Calculate estimated patient responsibility based on contracted rates, deductibles, coinsurance, and covered services.
• Document all insurance verification and billing details accurately in the patient accounting system.
• Contact patients to discuss insurance benefits, estimated out-of-pocket expenses, and payment expectations prior to surgery.
• Collect pre-surgical payments and arrange payment options as appropriate.
• Verify authorization, precertification, or referral requirements and obtain necessary approvals before the date of service.
• Maintain daily reconciliation processes to ensure all scheduled patients have completed insurance verification.
• Deliver exceptional customer service and contribute to patient satisfaction through professional, compassionate interactions.
• Communicate concerns, discrepancies, or payment-related issues to leadership in a timely manner.

Skills

Verbal communication

Written communication

Attention to detail

Organization

Microsoft Office

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

Full-Time Insurance Verification Clerk

On-Site Position | Piccard Surgery Center

At Piccard Surgery Center, we believe health and care are inseparable. Our team provides exceptional surgical care in a patient-focused, service-driven environment within our modern, state-of-the-art facility.

We are seeking a detail-oriented Insurance Verification Clerk to join our team. In this role, you will be responsible for verifying insurance benefits, securing authorizations, calculating patient financial responsibility, and providing outstanding customer service throughout the pre-surgical process. This position plays a critical role in ensuring accurate patient billing and a positive patient experience.

Key Responsibilities

• Review patient demographics, insurance coverage, and scheduled procedures to ensure accurate benefit verification.
• Identify implant requirements and verify associated coverage when applicable.
• Verify insurance eligibility and benefits through payer websites and direct communication with insurance carriers.
• Calculate estimated patient responsibility based on contracted rates, deductibles, coinsurance, and covered services.
• Document all insurance verification and billing details accurately in the patient accounting system.
• Contact patients to discuss insurance benefits, estimated out-of-pocket expenses, and payment expectations prior to surgery.
• Collect pre-surgical payments and arrange payment options as appropriate.
• Verify authorization, precertification, or referral requirements and obtain necessary approvals before the date of service.
• Maintain daily reconciliation processes to ensure all scheduled patients have completed insurance verification.
• Deliver exceptional customer service and contribute to patient satisfaction through professional, compassionate interactions.
• Communicate concerns, discrepancies, or payment-related issues to leadership in a timely manner.

Qualifications

• Minimum of 2 years of insurance verification experience in a healthcare or surgical setting.
• High school diploma or equivalent required.
• Strong understanding of medical terminology and healthcare insurance processes.
• Excellent verbal and written communication skills with the ability to interact effectively with patients, physicians, and payers.
• Experience working with patient accounting and practice management systems.
• Proficiency with Microsoft Office applications, including Outlook, Excel, and Word.
• Ability to interpret insurance benefits, explanations of benefits (EOBs), and managed care contracts.
• Strong attention to detail, organization, and follow-through.
• Demonstrated stability and longevity in previous employment.

Compensation

Pay Range: $25.40 - $30.77 per hour

Compensation is determined based on factors including, but not limited to, experience, skills, education, certifications, and overall qualifications.

Benefits

USPI offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (PTO)
• 401(k) retirement plan
• Paid holidays
• Health Savings Accounts (HSA) and healthcare & dependent care flexible spending accounts
• Employee Assistance Program (EAP) and Employee Discount Program
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare support, AD&D, and auto & home insurance

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.

#USP-123
#LI-KB3