Full Time Insurance Verifier/Surgery Scheduler

Full Time Insurance Verifier / Surgery Scheduler
On-site (100%)

Providence Surgery Center is a physician-owned, accredited ambulatory surgery center recognized by The Joint Commission, reflecting our commitment to the highest standards of patient safety, quality care, and patient satisfaction.

Position Summary

The Insurance Verifier / Surgery Scheduler is responsible for verifying patient insurance benefits, obtaining authorizations, estimating patient financial responsibility, and scheduling surgical procedures. This role plays a critical part in ensuring accurate insurance processing, efficient operating room scheduling, and a positive patient experience.

Insurance Verification & Financial Clearance

•    Review patient demographics, insurance information, and scheduled procedures.
•    Identify required implants related to scheduled procedures.
•    Verify insurance benefits through payer portals and phone calls.
•    Determine and document estimated patient financial responsibility.
•    Post all insurance verification and billing comments accurately.
•    Contact patients regarding balances due prior to surgery and attempt pre-collection.
•    Verify and obtain required pre-authorizations or pre-certifications.
•    Reconcile daily schedules to ensure all patients are verified.
•    Notify management of discrepancies, difficult patient situations, or patients unwilling to pay prior to or at time of service.
•    Maintain high patient satisfaction through professional and compassionate communication, as reflected in patient surveys.

Surgery Scheduling Responsibilities

•    Schedule all surgical procedures accurately and efficiently.
•    Obtain and enter all required scheduling information from surgeons or their schedulers.
•    Maintain awareness of departmental instrument and equipment limitations.
•    Communicate with the OR Director/Administrator regarding block time utilization.
•    Coordinate special equipment, instrumentation, supply, and staffing needs with the OR Director.
•    Proofread and edit all surgery schedules prior to distribution.
•    Resolve scheduling conflicts and procedural questions with the OR Director.
•    Keep department managers informed of schedule changes impacting daily operations.
•    Prepare and distribute the finalized surgery schedule for the following day.

Qualifications

•    Minimum 2 years of experience in insurance verification required.
•    High school diploma or equivalent required.
•    Strong verbal and written communication skills; ability to communicate effectively with patients both in person and over the phone.
•    Familiarity with patient accounting and scheduling software.
•    Working knowledge of Microsoft Excel, Word, Outlook, and internet-based systems.
•    Ability to read and interpret insurance explanations of benefits (EOBs) and managed care contracts.
•    Demonstrated longevity and stability in previous roles preferred.

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.

#USP-123

#LI-KB3