Insurance Verification Coordinator/Financial Advocate "location: Desoto, Texas" - FT Job at USPI
In search of a strong candidate with a minimum experience of 2 years with Insurance Verification and Managed Care. No weekends, no holidays, no call.
North Texas Surgery Center. Desoto, Texas.
Retrieves demographic information from schedule posting and enters the information in database.
Communicates with physician offices to obtain the most current and updated information.
Verifies patient insurance coverage via phone/or online for surgery procedures.
Determines if referrals or authorizations are required for specified procedures.
Confirms with the Insurance Companies if when referrals or Pre-Certifications/authorizations are required that required Referral or Pre-cert/Auth #’s are in place and includes the Facility, the date of service range and specified procedure codes.
Calculates patient estimated out of pocket, co-pay amounts and/or unmet deductibles and notifies patient prior to the date of service.
Offers/makes arrangements in advance and creates SurgiCares payment plans/options to patients when applicable.
Strong knowledge of Managed Care contracts. Able to understand contract agreement and reimbursements.
Strong knowledge of Government and State medical plans.
Ability to work as a team player in a fast paced environment.
Completes other work assignments or job duties as assigned by Business Office Manager.
Must be crossed trained to all Business Office job descriptions.
Required Skills:
High school graduate or equivalent.
Must have the skills necessary to operate the office equipment required to fulfill job duties. Must be very detailed and able to multi-task
Medical terminology and computer experience required.
Excellent communication skills and interpersonal relation skills.
Must use independent judgment and adapt quickly to changing circumstances.
Required Experience:
2 Year of medical insurance verification REQUIRED
Proficient in understanding Managed Care contract and insurance allowables
Calculate patient out of pocket expense
Please Note :
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North Texas Surgery Center. Desoto, Texas.
Retrieves demographic information from schedule posting and enters the information in database.
Communicates with physician offices to obtain the most current and updated information.
Verifies patient insurance coverage via phone/or online for surgery procedures.
Determines if referrals or authorizations are required for specified procedures.
Confirms with the Insurance Companies if when referrals or Pre-Certifications/authorizations are required that required Referral or Pre-cert/Auth #’s are in place and includes the Facility, the date of service range and specified procedure codes.
Calculates patient estimated out of pocket, co-pay amounts and/or unmet deductibles and notifies patient prior to the date of service.
Offers/makes arrangements in advance and creates SurgiCares payment plans/options to patients when applicable.
Strong knowledge of Managed Care contracts. Able to understand contract agreement and reimbursements.
Strong knowledge of Government and State medical plans.
Ability to work as a team player in a fast paced environment.
Completes other work assignments or job duties as assigned by Business Office Manager.
Must be crossed trained to all Business Office job descriptions.
Required Skills:
High school graduate or equivalent.
Must have the skills necessary to operate the office equipment required to fulfill job duties. Must be very detailed and able to multi-task
Medical terminology and computer experience required.
Excellent communication skills and interpersonal relation skills.
Must use independent judgment and adapt quickly to changing circumstances.
Required Experience:
2 Year of medical insurance verification REQUIRED
Proficient in understanding Managed Care contract and insurance allowables
Calculate patient out of pocket expense
Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.