Insurance Verifier

Join to apply for the Insurance Verifier role at United Surgical Partners International, Inc .

Coral Ridge Outpatient Center: We are seeking a highly organized and detail-oriented Medical Insurance Verifier to join our team. This role is responsible for verifying insurance coverage to ensure a smooth and efficient patient experience. The ideal candidate will be a self-starter with excellent communication skills, the ability to manage multiple tasks in a fast-paced environment, and the flexibility to open our center at 5:00 AM as needed.

Coral Ridge Outpatient Center is a fast-paced ASC environment committed to producing the highest quality work and experience for patients and their families.

Job Summary:

• Verify Insurance Benefits and determine patient responsibility based on Insurance Contract.
• Provide payment arrangement documentation for surgical procedures to appropriate individuals.
• Discuss documentation with patients and family members, confirming instructions are understood, answering questions, setting up payment plans if appropriate.
• Answer patient and authorized party questions and refer complex questions to healthcare professionals.
• Communicate pertinent information from physicians, support staff, insurance companies, and other parties to the patient.
• Review pre-qualification for third-party payers before scheduled admission and contact payers to ensure coverage, pre-certifications, and pre-qualifications.

These duties are in addition to any other duties assigned by the Business Office Manager.

Center Opening & Administrative Support:

• Open the center promptly at 5:00 AM, ensuring all administrative systems are operational.
• Greet and assist patients with initial paperwork or questions.
• Provide general administrative support for smooth daily operations.

Required Skills:

• Minimum 2 years of experience in insurance verification.
• High school diploma or equivalent.
• Bilingual skills preferred.
• Excellent communication skills, both over the phone and in person.
• Medical Terminology experience preferred.
• Proficiency with office equipment and patient accounting software, especially AdvantX.
• Familiarity with Internet Explorer, Microsoft Excel, Word, and Outlook.

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 U.S. We are committed to providing surgical services efficiently and with clinical excellence.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industries: Hospitals and Health Care