Insurance Verifier

Insurance Verifier

New Mexico Orthopaedic Surgery Center is hiring a Insurance Verifier Full Time. Welcome to New Mexico Orthopaedic Surgery Center. At New Mexico Orthopaedic Surgery Center, we believe health and care are inseparable. We focus on offering a high quality, service-oriented environment for your surgical procedure.

****This is a In Person Position, not remote.****

New Mexico Surgery Center - Orthopaedics: located at: 8300 Constitution Ave NE, Albuquerque, NM 87110:

Job Summary:

• Responsible for timely and accurate verification of all patients scheduled for surgery.
• Using required insurance verification forms, the verifier will obtain all required information from the insurance carrier and document in the centers PAS.
• The verifier will also calculate patient responsibility and contact them for any amounts due.
• Verify all scheduled cases 5-7 prior to date of service
• Coordinate with scheduler to ensure add-ons are verified prior to date of service.
• Utilize on-line verification resources provided to the center.
• Contact physician or patient for any missing or needed information to complete registration.
• Update patient demographics/information in centers PAS system.
• Ensure insurance verification forms include all needed information to accurately calculate the patient's responsibility and collect these monies up-front
• Insurance verification details entered into AdvantX are complete. These include: pre-authorization details, claims adjuster contact info, patient responsibility
• Work with Business Office Manager and/or Materials Manager to include estimates/quotes for implants if applicable.
• OON notifications are sent to any payer that is not contracted with the facility and evidence is kept at center.
• Receives, screens, and routes incoming calls in a professional manner by the third ring.
• Is crossed trained to effectively perform other business office duties as 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.

Qualifications:

• High School education and/or equivalent
• Up to one year of related experience or training or equivalent combination of education and experience.
• Shall have demonstrated computer skills.