What are the responsibilities and job description for the Insurance Verifier position at USPI?
Conroe Surgery Center is a premier outpatient surgical facility in Conroe, Texas, dedicated to delivering high-quality, patient-centered care in a safe and efficient environment. Our state-of-the-art facility specializes in a variety of surgical procedures, ensuring optimal outcomes for our patients. We take pride in our commitment to excellence, innovation, and compassionate care, serving our community with integrity and professionalism.
We are seeking a detail-oriented and experienced Insurance Verifier to join our administrative team. The Insurance Verifier plays a crucial role in ensuring seamless financial clearance for patients by verifying insurance benefits, obtaining authorizations, and accurately documenting coverage details. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of insurance processes.
Responsibilities:
- Verify insurance eligibility and benefits for scheduled procedures.
- Obtain necessary authorizations and pre-certifications from insurance providers.
- Accurately document patient coverage details, including copays, deductibles, and out-of-pocket costs.
- Communicate with patients regarding their insurance benefits and financial responsibilities.
- Collaborate with the business office, scheduling team, and clinical staff to ensure proper insurance verification before procedures.
- Follow up on pending authorizations and resolve any insurance-related discrepancies.
- Maintain knowledge of various insurance plans, including Medicare, Medicaid, and commercial payers.
- Ensure compliance with HIPAA regulations and maintain patient confidentiality.
Required Skills:
- Strong understanding of medical insurance verification, authorizations, and billing procedures.
- Knowledge of payer guidelines, including Medicare, Medicaid, and commercial insurance plans.
- Proficiency in insurance portals and verification tools.
- Excellent problem-solving and organizational skills.
- Strong communication skills, with the ability to provide clear and professional patient interactions.
- Ability to work in a fast-paced environment while maintaining accuracy and attention to detail.
- Familiarity with medical terminology and coding is a plus.
Required Experience:
- High school diploma or equivalent required; associate’s or bachelor’s degree in a related field is a plus.
- Minimum of 2 years of experience in insurance verification, medical billing, or a related healthcare administrative role.
- Experience working in an ambulatory surgery center (ASC) or hospital setting preferred.
- Proficiency in electronic medical records (EMR) systems and insurance verification software.
