Insurance Verifier
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USPI
Dallas, TX, US
Summary
The Insurance Verifier is responsible for verifying patient insurance benefits, obtaining necessary authorizations, and calculating patient financial responsibility. They also assist front-end staff and handle patient inquiries regarding benefit quotes and payments.
Job Description
North Central Surgical Center is a highly successful, Baylor Scott & White affiliated hospital located in Dallas, TX. We partner with the very best team members and medical staff in the area. We are a surgical focused hospital that performs over 12,000 procedures per year.
FACTS ABOUT NORTH CENTRAL: Opened in 2005, 14 Operating Rooms and 30 Medical/Surgical Patient Rooms. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries. Managed by United Surgical Partners International & Joint Commission Accredited
Job Description:
North Central Surgical Center is currently seeking a Full-Time Insurance Verifier in our Business Office Department.
- Retrieves patient information, verifying patient information is accurate (spelling of name, D.O.B., gender, etc.).
- Verifies patient insurance benefits by utilizing online websites or by contacting the carriers directly.
- Obtain authorizations from insurance companies/physician offices, pre-certification, requirements and referrals as needed.
- Ensure high cost implant/supply or equipment rental is included on authorization.
- Check insurance company approved procedure lists/medical policies.
- Calculates patient deductibles and/or copays based on contract interpretation of Managed Care Contracts and enter into the patient accounting system and spreadsheets provided.
- Contact patients regarding moneys due prior to date of surgery.
- Determine patient responsibility for payment based on contract and account reviews.
- Determine patient responsibility for cash payment based on reimbursement and account reviews.
- Fill out verifications sheet and upload to patient charts
- Assist front end staff in understanding verification of eligibility and/or patient responsibility.
- Answer incoming department call and assist patients with their benefit inquires & quotes
- Performs miscellaneous job-related duties as assigned.
United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals. The company was founded in 1998 with a promise to deliver high-quality, lower-cost solutions to the communities it serves by forming collaborations with other like-minded institutions and physicians. USPI is part of Tenet Healthcare, which provides access to additional resources and a greater network of care. For more information, please visit www.uspi.com.
Founded
1998
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Dallas, Texas
United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals. The company was founded in 1998 with a promise to deliver high-quality, lower-cost solutions to the communities it serves by forming collaborations with other like-minded institutions and physicians. USPI is part of Tenet Healthcare, which provides access to additional resources and a greater network of care. For more information, please visit www.uspi.com.
Founded
1998
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Privately Held
Headquarters
Dallas, Texas
