Insurance Verification Specialist

SCA Health; New Albany (IN); On-site; USD 29,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k with company match

Paid time off

Life and disability insurance

Job summary

SCA Health is seeking an Insurance Verifier to support our Indiana centers. This role verifies patient insurance information and eligibility, determines secondary payer needs, and enters data into the patient accounting system.

You will coordinate with payers, ensure authorizations, and communicate estimated patient responsibilities prior to service. The position emphasizes accuracy, compliance with CMS guidelines, and effective communication with patients and providers within a high-volume

Qualifications

• Bachelor's degree preferred but not required.
• Experience checking authorizations.
• Must be experienced with CPT codes.
• Detailed and able to work in a high production environment.
• Healthcare experience a must.
• Local or within driving distance.

Responsibilities

• Verify that sufficient information is available for accurate verification and eligibility.
• Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
• Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
• Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
• When the patient's insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers.
• SCA's goal for each patient's insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable
• The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patient's prior to the date of service to review, Physician Ownership, Advance Directives and Patient Rights.

Skills

CPT codes experience

Detail oriented

Healthcare experience

High production environment

Local commute

Education

Bachelor's degree preferred

Job description

SCA Health is seeking an Insurance Verifier to support our Indiana centers. This role verifies patient insurance information and eligibility, determines secondary payer needs, and enters data into the patient accounting system.

You will coordinate with payers, ensure authorizations, and communicate estimated patient responsibilities prior to service. The position emphasizes accuracy, compliance with CMS guidelines, and effective communication with patients and providers within a high-volume