Insurance Verifier

North Central Surgical Centeris a highly successful, Baylor Scott & White affiliatedhospital located in Dallas, TX. We partner with the verybest team members and medical staff in the area. We area surgical focused hospital that performs over12,000procedures per year. FACTS ABOUT NORTH CENTRAL:Opened in 2005, 14 Operating Rooms and 30 Medical/Surgical Patient Rooms. We are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries. Managed by United Surgical Partners International & Joint Commission Accredited Job Description: North Central Surgical Center is currently seeking a Full-Time Insurance Verifier in our Business Office Department. Retrieves patient information, verifying patient information is accurate (spelling of name, D.O.B., gender, etc.). Verifies patient insurance benefits by utilizing online websites or by contacting the carriers directly. Obtain authorizations from insurance companies/physician offices, pre-certification, requirements and referrals as needed. Ensure high cost implant/supply or equipment rental is included on authorization. Check insurance company approved procedure lists/medical policies. Calculates patient deductibles and/or copays based on contract interpretation of Managed Care Contracts and enter into the patient accounting system and spreadsheets provided. Contact patients regarding moneys due prior to date of surgery. Determine patient responsibility for payment based on contract and account reviews. Determine patient responsibility for cash payment based on reimbursement and account reviews. Fill out verifications sheet and upload to patient charts Assist front end staff in understanding verification of eligibility and/or patient responsibility. Answer incoming department call and assist patients with their benefit inquires & quotes Performs miscellaneous job-related duties as assigned. Required Skills: Requirements: Minimum two years' experience in insurance verification & pre-certification for surgeries and medical terminology preferred. Strong knowledge of Government and State Medical plans. Strong Knowledge of Managed Care Contract. Communication skills: ability to effectively present information to patients, physicians, and other employees of surgery center. Proficient in computers and relevant software applications Basic math skills Provide exceptional customer service Cerner experience preferred. #J-18808-Ljbffr