Surgery Scheduler/Insurance Verifier

USPI•Corpus Christi, TX

1d•Onsite

About The Position

USPI Texas Precision Surgery Center is seeking a motivated Surgery Scheduler/Insurance Verifier to join our team. We have 2 OR rooms and 1 Treatment room. With outpatient services performed in Ophthalmology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day.

Requirements

Motivated
Ability to schedule surgeries and coordinate schedules.
Proficiency in gathering detailed patient information.
Experience entering patient information into computer systems.
Ability to schedule anesthesia services.
Experience verifying patient insurance benefits.
Ability to interpret managed care contracts.
Skill in determining pre-certification requirements.
Ability to review contracts and patient benefits.
Skill in determining co-pays.
Experience posting insurance and billing comments.
Ability to enter information into patient accounting systems.
Experience contacting patients regarding payments.
Ability to assist patients with credit agreements.
Skill in determining patient financial responsibility.
Ability to review financial records.
Skill in attaching documentation to verification sheets.

Nice To Haves

Experience in Ophthalmology outpatient services.

Responsibilities

Plans and schedules surgical and related appointments for doctors.
Verifies benefits and eligibility via insurance portals or via phone.
Enters patient information and insurance coverage into the patient account system.
Communicates with patients on their out-of-pocket expenses.
Calls physician offices and insurance carriers to get updates on authorizations and pre-certifications prior to surgical procedures.
Maintains master schedule to ensure coordination between doctors, anesthesia, lab and insurance carriers.
Schedules surgeries and coordinates schedules between the Surgery Center and doctor's offices.
Gathers all detailed information for the patient's chart, such as type of procedure, supplies, special equipment required, insurance information, etc.
Enters all patient information in the computer system.
Schedules all surgical anesthesia services required according to doctor preference and availability.
Verifies patient insurance benefits by contacting insurance companies and interpretation of managed care contracts.
Determines pre-certification requirements.
Verifies insurance benefits by reviewing our contract and patient’s quoted benefits.
Determines co-pay.
Posts all insurance and billing comments.
Enters all information into the patient accounting system.
Contacts patients regarding moneys due prior to the date of surgery.
Assists patients with credit agreements (Care Credit).
Determines patient responsibility for cash payment based on reimbursement and account reviews.
Reviews financial records for correctness.
Attaches correct documentation to verification sheets and delivering to appropriate staff.