Surgery Scheduler/Insurance Verifier

United Surgical Partners International; Corpus Christi (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

USPI Texas Precision Surgery Center in Corpus Christi, TX is seeking a motivated Surgery Scheduler/Insurance Verifier to join our team. The role focuses on scheduling procedures, verifying benefits, and communicating with patients about costs.

Some early mornings and later evenings may be required based on the surgical schedule. Responsibilities include coordinating between doctors, anesthesia, and insurance carriers, entering patient data, and obtaining authorizations as needed.

Qualifications

• High School education and/or equivalent.
• Must have at least TWO YEARS direct experience with scheduling surgeries.
• Minimum 2 years of experience in insurance verification and estimates.

Responsibilities

• Schedule surgeries and maintain the master calendar coordinating with doctors, anesthesia, lab and carriers.
• Verify patient insurance benefits and determine pre-certification requirements.
• Communicate with patients regarding out-of-pocket costs and collect necessary payments.
• Enter patient information and insurance coverage into the system and attach supporting documents.

Skills

Scheduling

Insurance verification

Patient communication

Education

High School diploma or equivalent

Job description

USPI Texas Precision Surgery Center is seeking a motivated Surgery Scheduler/Insurance Verifier to join our team. We have 2 OR rooms and 1 Treatment room. With outpatient services performed in Ophthalmology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

Job Summary: The Surgery Scheduler/Insurance Verifier plans and schedules for surgical and related appointments for doctors, responsible for verifying benefits and eligibility via insurance portals or via phone and entering patient information and insurance coverage into the patient account system. Duties will also include communicating with patients on their out-of-pocket expenses. Calling physician offices, insurance carriers to get updates on authorizations and pre-certifications prior to surgical procedures.

Job Duties:

• Scheduling
• Maintains master schedule to ensure coordination between doctors, anesthesia, lab and insurance carriers.
• Schedule surgeries, coordinates schedule between Surgery Center and doctor's offices.
• Gathers all detailed information for the patient's chart, such as type of procedure, supplies, special equipment required, insurance information, etc. Enters all patient information in computer system.
• Schedules all surgical anesthesia services required according to doctor preference and availability.
• Verifies patient insurance benefits by contacting insurance companies and interpretation of managed care contracts. Determines pre-certification requirements
• Verify insurance benefits by reviewing our contract and patient’s quoted benefits.
• Determine co-pay. Post all insurance and billing comments. Enter all information into patient accounting system.
• Contact patients regarding moneys due prior to date of surgery.
• Assists patients with credit agreements (Care Credit).
• Determine patient responsibility for cash payment based on reimbursement and account reviews.
• Review financial records for correctness.
• Attach correct documentation to verification sheets and delivering to appropriate staff.

#USP-123

#LI-CM1

Required Skills:

Qualifications:

• High School education and/or equivalent
• Must have at least TWO YEARS direct experience with experience scheduling surgeries
• Minimum 2 years of experience in insurance verification and estimates