Insurance Verifier FT

Full-TIme Insurance Verification Clerk

Physicians' Surgery Center of Tidewater is seeking a detail-oriented and experienced Insurance Verifier to join our team. The ideal candidate will be responsible for verifying insurance coverage, obtaining pre-authorizations, and ensuring accurate billing for a variety of surgical procedures in our multispecialty surgery center. We are looking for someone with demonstrated longevity in past roles who values long-term career growth and stability.

Key Responsibilities:

• Accurately verify patient insurance coverage for all scheduled surgeries and procedures.

• Obtain required authorizations and pre-certifications from insurance companies before scheduled surgeries.

• Review and document detailed insurance benefits, including co-pays, deductibles, and out-of-pocket maximums.

• Work closely with patients and physicians to resolve any coverage or authorization issues before surgery dates.

• Update patient records with verified insurance information and maintain a high level of accuracy in documentation.

• Communicate effectively with insurance companies to clarify coverage, resolve discrepancies, and escalate complex issues as needed.

• Collaborate with the billing team to ensure clean claims submission and prompt reimbursement.

• Provide patients with an understanding of their financial responsibility before surgery.

• Maintain confidentiality and comply with HIPAA regulations at all times.

Preferred Skills:

• Familiarity with multi-specialty surgical procedures and related insurance coding.

• Knowledge of CPT, ICD-10 codes, and authorization procedures.

Why Join Us?

At Physicians' Surgery Center of Tidewater, we are committed to providing exceptional care to our patients while fostering a supportive work environment for our staff. We offer competitive compensation, comprehensive benefits, and opportunities for growth and advancement for those who show dedication and long-term commitment.

As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life's daily stresses.

• Competitive wages

• Health, Dental & Vision Coverage

• 401(k) retirement plan

• Paid Time Off (PTO)

• Company Paid Holidays

• Employee Assistance Programs

• Health Savings Account/ Flexible Spending Account

• Education Assistance

• Short Term Disability and Long Term Disability Insurance

• Travel Assistance when 100+ miles from home for business or vacation

• Free parking

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Required Skills:

• High school diploma or GED required; associate degree or higher in healthcare administration or related field preferred.

• Minimum of 2-5 years of experience in insurance verification, preferably in a healthcare or surgical setting.

• Demonstrated longevity in previous roles; candidates with a stable work history will be prioritized.

• Strong knowledge of health insurance plans, including commercial, Medicare, and Medicaid.

• Experience with electronic medical records (EMR) systems and insurance portals.

• Exceptional attention to detail and accuracy.

• Excellent communication and customer service skills.

• Ability to work effectively in a fast-paced, team-oriented environment.

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.

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

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