What are the responsibilities and job description for the Insurance Verifier position at United Surgical Partners International, Inc?
North Central Surgical Center is a highly successful, Baylor Scott & White affiliated hospital located in Dallas, TX. We partner with the very best team members and medical staff in the area. We are a surgical focused hospital that performs over 12,000 procedures per year.
FACTS ABOUT NORTH CENTRAL: Opened in 2005, 14 Operating Rooms and 30 Medical/Surgical Patient Rooms. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries. Managed by United Surgical Partners International & Joint Commission Accredited
Job Description:
North Central Surgical Center is currently seeking a Full-Time Insurance Verifier in our Business Office Department.
Requirements:
FACTS ABOUT NORTH CENTRAL: Opened in 2005, 14 Operating Rooms and 30 Medical/Surgical Patient Rooms. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries. Managed by United Surgical Partners International & Joint Commission Accredited
Job Description:
North Central Surgical Center is currently seeking a Full-Time Insurance Verifier in our Business Office Department.
- Retrieves patient information, verifying patient information is accurate (spelling of name, D.O.B., gender, etc.).
- Verifies patient insurance benefits by utilizing online websites or by contacting the carriers directly.
- Obtain authorizations from insurance companies/physician offices, pre-certification, requirements and referrals as needed.
- Ensure high cost implant/supply or equipment rental is included on authorization.
- Check insurance company approved procedure lists/medical policies.
- Calculates patient deductibles and/or copays based on contract interpretation of Managed Care Contracts and enter into the patient accounting system and spreadsheets provided.
- Contact patients regarding moneys due prior to date of surgery.
- Determine patient responsibility for payment based on contract and account reviews.
- Determine patient responsibility for cash payment based on reimbursement and account reviews.
- Fill out verifications sheet and upload to patient charts
- Assist front end staff in understanding verification of eligibility and/or patient responsibility.
- Answer incoming department call and assist patients with their benefit inquires & quotes
- Performs miscellaneous job-related duties as assigned.
Requirements:
- Must be able to work 9:30-6pm shift.
- Minimum two years' experience in insurance verification & pre-certification for surgeries and medical terminology preferred.
- Strong knowledge of Government and State Medical plans.
- Strong Knowledge of Managed Care Contract.
- Communication skills: ability to effectively present information to patients, physicians, and other employees of surgery center.
- Proficient in computers and relevant software applications
- Basic math skills
- Provide exceptional customer service
- Cerner experience preferred.
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