Insurance Verifier: Patient Benefits & Pre-Auth

United Surgical Partners International, Inc; Florida; On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Life insurance

Short- and long-term disability

401(k) retirement plan

Paid holidays and vacation

Job summary

Treasure Coast Center for Surgery is seeking an Insurance Verifier to join our busy ambulatory surgery center. The role involves contacting insurance carriers to verify patient benefits, estimating patient financial responsibilities, and coordinating with physicians, staff, and patients to secure pre-authorization for procedures.

The ideal candidate will have a high school diploma or GED, CPR certification, and strong knowledge of Medicare and managed care requirements.

Qualifications

• Requires a high school diploma or GED.
• CPR certification is required.
• Typing/keyboarding skills are essential.
• Strong knowledge of Medicare and managed care plans, including authorization and referrals.

Responsibilities

• Contacts all insurance carriers per patient to ensure proper coordination and reimbursement of benefits.
• Breaks down managed care contract reimbursements and estimates patient financial responsibilities.
• Works with physician offices and patients to provide accurate patient financial responsibilities and ensure pre-authorization for procedures/admissions.
• Interacts with patients and staff respectfully regardless of age or background.
• Follows center policies, participates in safety and infection control practices, and supports emergency preparedness.

Education

High School Diploma or GED

CPR Certification

Proficient typing/ keyboarding

Strong knowledge of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements

Job description

Treasure Coast Center for Surgery is seeking an Insurance Verifier to join our busy ambulatory surgery center. The role involves contacting insurance carriers to verify patient benefits, estimating patient financial responsibilities, and coordinating with physicians, staff, and patients to secure pre-authorization for procedures.

The ideal candidate will have a high school diploma or GED, CPR certification, and strong knowledge of Medicare and managed care requirements.