Full Time Insurance Verifier/Surgery Scheduler

USPI•Mount Juliet, TN

4h•Onsite

About The Position

Providence Surgery Center is a physician-owned, accredited ambulatory surgery center recognized by The Joint Commission, reflecting our commitment to the highest standards of patient safety, quality care, and patient satisfaction. The Insurance Verifier / Surgery Scheduler is responsible for verifying patient insurance benefits, obtaining authorizations, estimating patient financial responsibility, and scheduling surgical procedures. This role plays a critical part in ensuring accurate insurance processing, efficient operating room scheduling, and a positive patient experience.

Requirements

Minimum 2 years of experience in insurance verification required.
High school diploma or equivalent required.
Strong verbal and written communication skills; ability to communicate effectively with patients both in person and over the phone.
Familiarity with patient accounting and scheduling software.
Working knowledge of Microsoft Excel, Word, Outlook, and internet-based systems.
Ability to read and interpret insurance explanations of benefits (EOBs) and managed care contracts.

Nice To Haves

Demonstrated longevity and stability in previous roles preferred.

Responsibilities

Review patient demographics, insurance information, and scheduled procedures.
Identify required implants related to scheduled procedures.
Verify insurance benefits through payer portals and phone calls.
Determine and document estimated patient financial responsibility.
Post all insurance verification and billing comments accurately.
Contact patients regarding balances due prior to surgery and attempt pre-collection.
Verify and obtain required pre-authorizations or pre-certifications.
Reconcile daily schedules to ensure all patients are verified.
Notify management of discrepancies, difficult patient situations, or patients unwilling to pay prior to or at time of service.
Maintain high patient satisfaction through professional and compassionate communication, as reflected in patient surveys.
Schedule all surgical procedures accurately and efficiently.
Obtain and enter all required scheduling information from surgeons or their schedulers.
Maintain awareness of departmental instrument and equipment limitations.
Communicate with the OR Director/Administrator regarding block time utilization.
Coordinate special equipment, instrumentation, supply, and staffing needs with the OR Director.
Proofread and edit all surgery schedules prior to distribution.
Resolve scheduling conflicts and procedural questions with the OR Director.
Keep department managers informed of schedule changes impacting daily operations.
Prepare and distribute the finalized surgery schedule for the following day.