Insurance Verifier

Insurance Verifier

South Denver Surgery Center is hiring a Full-Time Insurance Verifier

South Denver Surgery Center is a fast-paced ASC environment committed to producing the highest quality work and experience for patients and their families. At South Denver Surgery Center, we believe health and care are inseparable. Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each time.

Job Summary:

This position exists to identify patient’s financial status and subsequent out- of-pocket expense prior to services being performed at the Center.  Additionally, this person is required to be the patient representative and is often the first on-site contact the patient has with the Center.  Should have excellent people handling skills, a high degree of accuracy in obtaining and recording information.  This person shall be organized.  May be delegated additional responsibilities or special assignments by the Business Office Manager or Business Office Coordinator.

Job Duties: 

1.               Greets and sees to the needs of the patients and families.

2.               Obtains insurance information, copies of insurance cards, patient signatures, and collects the amounts to cover the patient’s portion of financial responsibility. 

3.               Calls and verifies benefits and eligibility; obtains authorizations as necessary.

4.               Verifies that authorization has been obtained for the date of surgery by the doctor’s office, and follows-up with doctor’s office if authorization has not been obtained.

5.               Completes verification sheet and enters above findings in computer under respective patient.

6.               Informs patient beforehand of any outstanding co-pays and deductibles due at time of surgery.

7.               Files verification sheet in the patient’s Medical Record.

8.               Enters the patients’ insurance information accurately in the computer system to produce a clean claim form.  Maintains an error rate of less than 2%.

9.               Maintains the daily receipt journal, prepares receipts for cash, check or credit card, and ensures the patient has a copy.  Submits the journal for posting daily.

10.           Serves as relief for scheduling desk.

11.           Receives, screens, and routes incoming calls in a professional manner by the third ring.

12.           Assists in continuous quality improvement processes.

13.           Seeks involvement in activities that promote professional growth and behavior, and promotes and assists employees in the same.

14.           Informs Business Office Coordinator of applicable day-to-day situations.

15.           Follows employee health, and other personnel and staffing policies.

16.           Able to work as a team member.

17.            Other duties may be assigned.

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.

Pay: 19.29 - 22.87

• High school graduate or equivalent.
• One year previous experience or some health care clerical experience or medical terminology preferred.
• Must have the skills necessary to operate office equipment that are required to fulfill job duties.
• Medical terminology and computer experience beneficial.
• Good communication skills.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce.  If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.  If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.