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Insurance Verification Specialist at USPI

Tucson, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jul, 26

Salary

0.0

Posted On

15 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance verification, Medical billing, Pre-authorization, Pre-certification, Medical terminology, CPT coding, ICD-10 coding, Electronic medical records, Customer service, Multitasking, Data entry, Communication, Eligibility verification, Documentation

Industry

Hospitals and Health Care

Description

POSITION SUMMARY: Camp Lowell Surgery Center is seeking a detail-oriented Insurance Verifier to join our front-office team. This role is essential in ensuring patients' insurance information is accurate, benefits are verified, and authorizations are obtained prior to scheduled surgical procedures. The ideal candidate will have strong communication skills, experience with insurance verification, and a proactive approach to preventing billing delays or denials. KEY RESPONSIBILITIES: * Verify patient insurance coverage and eligibility prior to scheduled procedures. * Obtain necessary pre-authorizations and pre-certifications from insurance companies. * Confirm patient benefits including deductible, co-pay, co-insurance, and out-of-pocket amounts. * Communicate financial responsibility to patients and collect or arrange for payments as needed. * Coordinate with schedulers, clinical staff, and billing department to ensure accurate documentation and timely submission. * Accurately input insurance data into the electronic medical records (EMR) system. * Contact patients, insurance companies, and referring offices as needed for clarification or follow-up. * Identify and resolve any insurance-related discrepancies prior to the date of service. * Maintain thorough documentation of verification and authorization processes. * Stay up to date on insurance requirements and changes in coverage policies.

Responsibilities

The Insurance Verification Specialist is responsible for verifying patient insurance coverage, obtaining pre-authorizations, and confirming benefits prior to surgical procedures. They also coordinate with clinical and billing staff to ensure accurate documentation and resolve any insurance-related discrepancies.