Insurance Verification Specialist

Insurance Verification Specialist

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

The Insurance Verification Specialist serves in a key client-facing role that supports a positive patient and customer experience while helping ensure an efficient, accurate pre-service process. This position is responsible for registering patients, obtaining and reviewing demographic and insurance information, verifying insurance eligibility and coverage with appropriate payors, and documenting relevant information in the system. The Insurance Verification Specialist also helps communicate patient financial responsibility when applicable and works closely with ambulatory surgical centers, physician offices, patients, and internal teams to support timely service, accurate reimbursement, and a high standard of client support.

Essential duties/responsibilities:

• Obtain demographic and insurance information from ambulatory surgical centers and physician offices
• Register patients by entering information into the system
• Verify insurance coverage with appropriate payor(s)
• Enter all insurance information into the system
• Enter patient notes, as applicable
• When applicable, contact patients to advise them of their financial responsibility
• Provide the admitting clerk with the up-front amount to be collected
• Collect payments from patients at the time of service or upon notification of the amount due
• Scan documents, as needed
• Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

Specific knowledge & skills required:

• Experience in medical office insurance verification is required
• Cooperative work attitude toward co-employees, management, patients, and outside contacts
• Ability to promote a favorable company image with patients, insurance companies, and the general public
• Ability to solve problems associated with assigned tasks
• Knowledge of computers and Windows-driven software

Preferred:

• Patient financial counseling experience preferred

Benefits:

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
• Vacation/Sick time
• 401(k) retirement plan with company match
• Paid Holidays
• SIS Cares Day
• Hybrid or Remote environment depending on the role

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.