Insurance Verification Surgery Scheduler PRN

United Surgical Partners International Inc (USPI); Sacramento (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Sacramento is seeking a PRN Insurance Verifier / Surgery Scheduler. This role involves verifying insurance benefits, scheduling surgeries, and ensuring accurate documentation. Ideal candidates will have a high school diploma and experience in medical insurance verification. Join a committed team dedicated to providing excellent surgical services and fostering an inclusive culture.

Benefits

Free Parking

Qualifications

• Experience verifying medical insurance.
• Ability to perform mathematical computations.
• Skill in establishing effective working relationships.

Responsibilities

• Verify insurance benefits and determine patient costs.
• Obtain and confirm insurance information.
• Assist in scheduling surgical procedures.

Skills

Communication

Mathematical Computations

Confidentiality

Education

High School diploma or equivalent

Tools

Computer Applications

Word Processing Programs

Job description

Sacramento Midtown Endoscopy Center has an opening for a PRN Insurance Verifier / Surgery Scheduler.

Job Summary: **** Verify insurance benefits and determine estimated amount due based on Insurance Contract and procedure(s) being performed.

· This position exists to identify patient’s In and Out-of-network benefits and subsequent out-of-pocket expense prior to services being performed at the center.

· Obtains insurance information. Confirms with insurance company that we have the correct billing information for the patients as well as correct claims address.

· Verifies that authorization has been obtained for the date of surgery by the doctor’s office,and follows-up with doctor’s office if authorization has not been obtained. Obtains authorizations if needed.

· Works with Surgeons office to obtain additional information or clarify. If information needs to be corrected, insurance verifier corrects and prints new forms.

· Informs Business Office Manager or Administrator of any cases that may not be able to be done at the facility due to the insurance coverage and seeks approval or cancellation.

· Verify all information obtained is correctly documented in the patients account, in the correct format.

· Calculate patient responsibility according to their benefits and our contract with that particular insurance company. Mail quote letter to patient, file copy in patients chart. Call patient, confirm the information we have for them is correct. Inform patient of the amount due and that it is due on or before DOS. Explain our billing policies if needed to the patient.

This position will also assist in scheduling surgical procedures.

Monday-Friday work schedule

Free Parking

The pay range is $26 - $29/hour, depending on experience.

Required Skills

· High School diploma or equivalent.

· Experience verifying medical insurance

· Skill in computer applications and use of calculator.

· Ability to perform mathematical computations and compute ratios and percentages.

· Knowledge of word processing programs.

· Ability to examine documents for accuracy and completeness.

· Ability to prepare records in accordance with detailed instructions.

· Ability to communicate clearly.

· Ability to work efficiently and productively.

· Ability to maintain confidentiality of sensitive information.

· Skill in establishing and maintaining effective working relationships with other employees, patients, clients, insurance organizations, and the public.

· Ability to work independently; manage multiple practices and multiple priorities, and to work swiftly but accurately.

Who We Are

We are part of a much larger team with United Surgical Partners (USPI). **** 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.

Required Experience

Qualifications:
· High School diploma or equivalent.

· Experience verifying medical insurance

· Skill in computer applications and use of calculator.

· Ability to perform mathematical computations and compute ratios and percentages.

· Knowledge of word processing programs.

· Ability to examine documents for accuracy and completeness.

· Ability to prepare records in accordance with detailed instructions.

· Ability to communicate clearly.

· Ability to work efficiently and productively.

· Ability to maintain confidentiality of sensitive information.

· Skill in establishing and maintaining effective working relationships with other employees, patients, clients, insurance organizations, and the public.

· Ability to work independently; manage multiple practices and multiple priorities, and to work swiftly but accurately.

Who We Are

We are part of a much larger team with United Surgical Partners (USPI). **** 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.