Insurance Verification Clerk

USPI•Rockville, MD
•$25 - $31•Onsite

About The Position

Piccard Surgery Center is seeking a detail-oriented Insurance Verification Clerk to support its patient-focused surgical care environment. The role verifies insurance benefits, secures authorizations, calculates patient financial responsibility, and provides customer service throughout the pre-surgical process. It contributes to accurate patient billing and a positive patient experience. This is a full-time, on-site position.

Requirements

  • Minimum of 2 years of insurance verification experience in a healthcare or surgical setting.
  • High school diploma or equivalent required.
  • Strong understanding of medical terminology and healthcare insurance processes.
  • Excellent verbal and written communication skills, with the ability to interact effectively with patients, physicians, and payers.
  • Experience working with patient accounting and practice management systems.
  • Proficiency with Microsoft Office applications, including Outlook, Excel, and Word.
  • Ability to interpret insurance benefits, explanations of benefits (EOBs), and managed care contracts.
  • Strong attention to detail, organization, and follow-through.
  • Demonstrated stability and longevity in previous employment.

Responsibilities

  • Review patient demographics, insurance coverage, and scheduled procedures to ensure accurate benefit verification.
  • Identify implant requirements and verify associated coverage when applicable.
  • Verify insurance eligibility and benefits through payer websites and direct communication with insurance carriers.
  • Calculate estimated patient responsibility based on contracted rates, deductibles, coinsurance, and covered services.
  • Document insurance verification and billing details accurately in the patient accounting system.
  • Contact patients to discuss insurance benefits, estimated out-of-pocket expenses, and payment expectations before surgery.
  • Collect pre-surgical payments and arrange payment options as appropriate.
  • Verify authorization, precertification, or referral requirements and obtain necessary approvals before the date of service.
  • Maintain daily reconciliation processes to ensure all scheduled patients have completed insurance verification.
  • Deliver exceptional customer service and contribute to patient satisfaction through professional, compassionate interactions.
  • Communicate concerns, discrepancies, or payment-related issues to leadership in a timely manner.

Benefits

  • Medical, dental, vision, disability, and life insurance
  • Paid time off (PTO)
  • 401(k) retirement plan
  • Paid holidays
  • Health Savings Accounts (HSA) and healthcare and dependent care flexible spending accounts
  • Employee Assistance Program (EAP)
  • Employee Discount Program
  • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, and auto and home insurance
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