What are the responsibilities and job description for the Insurance Verifier position at USPI?
New Mexico Surgery Center - Orthopaedics located at: 8300 Constituion Ave NE, Albuquerque, NM 87110.
Responsible for timely and accurate verification of all patients scheduled for surgery.
Using required insurance verification forms, the verifier will obtain all required information from the insurance carrier and document in the centers PAS.
The verifier will also calculate patient responsibility and contact them for any amounts due.
Required Skills:
Verify all scheduled cases 5-7 prior to date of service
Coordinate with scheduler to ensure add-on’s are verified prior to date of service.
Utilize on-line verification resources provided to the center.
Contact physician or patient for any missing or needed information to complete registration.
Update patient demographics/information in centers PAS system.
Ensure insurance verification forms include all needed information to accurately calculate the patient’s responsibility and collect these monies up-front
Insurance verification details entered into AdvantX are complete. These include: pre-authorization details, claims adjuster contact info, patient responsibility
Work with Business Office Manager and/or Materials Manager to include estimates/quotes for implants if applicable.
OON notifications are sent to any payer that is not contracted with the facility and evidence is kept at center.
Receives, screens, and routes incoming calls in a professional manner by the third ring.
Is crossed trained to effectively perform other business office duties as assigned.
Required Experience:
High School education and/or equivalent.
Up to one year of related experience or training or equivalent combination of education and experience.
Shall have demonstrated computer skills.
