Surgery Scheduler/Insurance Verifier

USPI Spicewood Surgery Center in Austin, TX is seeking a motivated Surgery Scheduler/Insurance Verifier to join our team. We have 2 OR rooms. We perform outpatient surgical procedures in Pain Management. 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.

NOT A REMOTE POSITION

Schedule: 8:30a-4:30p

Job Summary: The Surgery Scheduler/Insurance Verifier plans and schedules for surgical and related appointments for doctors, responsible for verifying benefits and eligibility via insurance portals or via phone and entering patient information and insurance coverage into the patient account system. Duties will also include communicating with patients on their out-of-pocket expenses'. Calling physician offices, insurance carriers to get updates on authorizations and pre-certifications prior to surgical procedures.

Job Duties: 

• Scheduling
• Maintains master schedule to ensure coordination between doctors, anesthesia, lab and insurance carriers.
• Schedule surgeries, coordinates schedule between 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 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
• Verify insurance benefits by reviewing our contract and patient’s quoted benefits.
• Determine co-pay. Post all insurance and billing comments. Enter all information into patient accounting system.
• Contact patients regarding moneys due prior to date of surgery.
• Assists patients with credit agreements (Care Credit).
• Determine patient responsibility for cash payment based on reimbursement and account reviews.
• Review financial records for correctness.
• Attach correct documentation to verification sheets and delivering to appropriate staff.

What We Offer
As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare 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.

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Qualifications:

• High School education and/or equivalent
• Must have at least TWO YEARS direct experience with experience scheduling surgeries 
• Minimum 2 years of experience in insurance verification and estimates
• Bilingual in Spanish is a plus