Insurance Verifier

United Surgical Partners International; Germantown (TN); On-site; USD 22,000 - 30,000; Full time

Benefits offered by this job

Medical, dental, vision, and Rx

Life and AD&D coverage

Short- and long-term disability

FSAs and HSAs

401(k) retirement plan

Paid holidays and vacation

Job summary

United Surgical Partners International (USPI) seeks an Insurance Verification Clerk for a 100% onsite role at Gastro One in Germantown, TN. You will verify patient coverage, document details, and coordinate with insurers to ensure accurate claim processing.

The role emphasizes precise data entry, strong communication, and collaboration with billing and coding teams to resolve discrepancies and maintain compliant records. Training and policy updates are part of ongoing development.

Qualifications

• High school diploma or equivalent required.
• Experience with insurance verification in a medical setting.
• Strong organizational and communication skills.
• Familiarity with medical terminology and coding.

Responsibilities

• Verify patient insurance coverage by contacting insurers via phone, portals or other methods.
• Obtain and document policy numbers, coverage dates and pre-authorization needs.
• Communicate with patients, providers and insurers to gather and relay information.
• Collaborate with billing and coding to resolve discrepancies in insurance data.
• Maintain detailed records and update EHRs with verified information.
• Identify and address issues affecting insurance verification and timely claims.
• Stay updated on changes in policies and billing codes; participate in training.

Skills

High school diploma

Insurance verification in medical set

Longevity in past roles

Medical terminology and coding

Professional communication with pts/gu

Organizational attention to detail

Electronic health records (EHR) &相关软件

Education

High school diploma or equivalent

Tools

Electronic Health Records (EHR)

Job description

Full- Time Insurance Verifier - 100% Onsite Position

Gastro One 1310, a leading healthcare provider in Germantown, TN, is seeking a detail-oriented and organized individual to join our team as an Insurance Verification Clerk. In this role, you will play a crucial part in ensuring the smooth and efficient processing of insurance claims by verifying patient insurance information and coordinating with insurance providers.

Responsibilities

Insurance Verification

• Verify patient insurance coverage by contacting insurance companies through phone, online portals, or other established methods.
• Obtain and document accurate insurance information, including policy numbers, coverage dates, and any pre-authorization requirements.

Communication

• Communicate effectively with patients, healthcare providers, and insurance companies to gather and relay necessary information.
• Collaborate with the billing and coding team to resolve any discrepancies in insurance information.

Documentation

• Maintain detailed and accurate records of insurance verifications for each patient.
• Update electronic health records (EHR) and other relevant databases with verified insurance information.

Problem Resolution

• Identify and address any issues or challenges related to insurance verification promptly.
• Work closely with the billing team to resolve insurance-related problems and ensure timely processing of claims.

Training and Compliance

• Stay updated on changes in insurance policies, regulations, and billing codes.
• Participate in training sessions to enhance skills and knowledge related to insurance verification.

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 the following, subject to employment status:

• 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.

Required Skills

• High school diploma or equivalent; additional education in healthcare administration is a plus.
• Insurance verification within a medical setting is required.
• Must demonstrate longevity in past roles.
• Familiarity with medical terminology and coding.
• Strong communication skills and the ability to interact professionally with patients and insurance providers.
• Excellent organizational skills with attention to detail.
• Proficiency in using electronic health record systems and other relevant software.