Insurance Verification

About the Role

Treasure Coast Center for Surgery has been serving the Treasure Coast area for 20 years. We are a busy, multispecialty ambulatory surgery center, performing outpatient procedures in Endoscopy, Gynecology, Orthopedics, Ophthalmology, Pain Management, Podiatry, and Urology. We are an affiliate of United Surgical Partners International and our mission is to treat each patient and every family as if they were our own. Each patient, each family, each and every time. If you share our mission, please reach out to discuss joining our team. We are currently searching for an Insurance Verifier to join our team.

The Insurance Verifier contacts all insurance companies to verify description of patient(s) medical plan benefits. Estimates patient financial responsibilities. Interacts with physicians, personnel, and patients regarding financial issues.

Responsibilities

• Contacts all insurance carriers per patient, to insure proper coordination and reimbursement of benefits.
• Breaks down managed care contract reimbursements and estimates patient(s) financial responsibilities.
• Works closely with physician offices and patients to provide accurate patient financial responsibilities and to ensure scheduled procedures/admissions have proper pre-authorization.
• Interacts appropriately and effectively with all patient/others regardless of age or ethnic background.
• Initiates safe practices and is knowledgeable about current center policies and procedures. Specific procedures and practices related to pain management, abuse and neglect, sentinel events and response, variance reporting, response to sentinel event alerts, participation in root cause analysis and other key policies and procedures is required.
• Assists with environmental hazard and infection control surveillance participate in emergency preparedness drills.
• Follows all equipment safety guidelines and is personally responsible for knowledgeable use and care for all business equipment.

Requirements

• High school diploma or GED certification
• Great attitude
• CPR Certification
• Proficient typing/keyboarding skills
• Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements
• 1 Year of medical insurance verification REQUIRED

Benefits

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation