Job Summary: Verify insurance benefits and determine estimated amount due based on Insurance Contract and procedure(s) being performed.

Essential Functions and Responsibilities:

• Review Patient information and procedure(s) being performed.
• Identify any needed implants
• Verify insurance benefits by reviewing patient benefits with payer via phone or on-line. .Determine estimated amount.
• Post all insurance and billing comments.
• Enter all information onto the Insurance Verification Sheet (USPI Form)
• Contact patients regarding money due prior to date of surgery.
• Attempt to pre-collect from patient.
• Verify is pre-auth or precertification is needed and obtain.
• Reconcile each day to ensure you have verified all patients.
• Responsible for patient satisfaction daily as it relates to patient surveys and overall satisfaction with interactions.
• Let BOM know of any discrepancies, difficult patients or patients noting unwillingness to pay before or at time of surgery.

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

For more information about USPI, check out our website

Benefits

USPI offers the following benefits, subject to employment status:

Medical, dental, vision, disability, and life insurance

• Paid time off (vacation & sick leave) – Starting PTO accrual is 15 days per year.
• 401k retirement plan
• Paid holidays
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

Pay rate: $25.00/hr

(Wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.)

• Minimum 2 years of experience in insurance verification.
• High school graduate or equivalent
• Excellent communication skills and the ability to communicate with patients over the phone and in person
• Medical Terminology experience preferred
• Forty-five (45) wpm typing skills required.
• Must have the skills necessary to operate the office equipment required to fulfill job duties.
• Familiar with patient accounting software, especially AdvantX.
• Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.
• Ability to read and understand insurance explanations of benefits and managed care contracts