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Insurance Verifier

Company: Surgical Care Affiliates
Location: Lexington
Posted on: November 11, 2019

Job Description:

OverviewSCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com.??Facility Description:An outpatient surgery center that was created for the convenience of the patient. Our experienced staff provides reassurance, personal attention, and high quality care to all patients and their families.? The design and goals of the facility compliment the physician?s schedule. This is where the staff makes a difference to aid the facility in being successful. We accomplish this by communicating with the patients prior to their surgery, starting and completing cases on time, having timely discharges, and our advanced technology and equipment.Accountabilities / ResponsibilitiesThe Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, benefits, obtaining authorizations, pre-certs as required by the individual insurance company and calculating co-insurance estimates per the payer contract as applicable and amounts due from self-pay patients. The Insurance Verifier will be familiar with and understand Medicare, Medicaid, other government payers, Commercial and HMO/PPO Payers guidelines and principals.The teammate will enter the verification, eligibility and benefit information in the patient accounting system to include the date, time and method used to obtain the verification/eligibility information for each patient.? The documentation will include the amount expected from the patient on or before the date of service.The Insurance Verification Clerk is responsible for communicating insurance benefit information and financial responsibility to each patient during a Pre-Registration Financial Orientation call prior to the date of service.? The verifier is responsible for verifying the patient demographic and insurance information along with subscriber information and secondary insurance as applicable during the Pre-Registration Financial Orientation call.?Key Responsibilities:

  • Obtaining prior authorizations on all applicable procedures.
  • Communicating with management on all cases that pose a financial hardship for the patient.
  • Notify patients of financial responsibility prior to the day of surgery.Qualifications
    • Six months to one-year experience in a medical office, hospital, outpatient surgery center or related field preferred.
    • Computer experience, Excel, Word, Medical Applications preferred.
    • High School Diploma requiredPlease send resumes to stacie.harris@scasurgery.com2019-6101

Keywords: Surgical Care Affiliates, Lexington , Insurance Verifier, Other , Lexington, Kentucky

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