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Insurance Verification Representative

Company: Surgical Care Affiliates
Location: Orange
Posted on: February 12, 2019

Job Description:

Insurance Verification Representative Overview SCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit . Facility Description: La Veta Surgery Center is a fast pace multi-specialty ambulatory surgical center with 6 OR's, and 2 procedure rooms. We average 1700 cases a month. We are a values base company which places clinical first Accountabilities / Responsibilities The Insurance Verification teammate is responsible for ensuring scheduled procedures are on the patient's insurance covered list and/or the patient meets self-pay criteria. The Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, benefits, obtaining authorizations and pre-certs as required by the individual insurance company. The teammate will verify that all scheduled procedures are on the ASC procedure listing. The Insurance Verifier will be familiar with and understand Medicare, Medicaid, other government payers, Commercial and HMO/PPO Payers guidelines and principals. The Insurance Verification teammate will be responsible for calculating co-insurance estimates per the payer Key Responsibilities: Responsible for verifying insurance coverage, eligibility, benefits, obtaining authorizations and pre-certs. Accountable for calculating accurate estimates of benefits and amounts due by the patient on their date of service. Conduct financial orientation phone calls with patients prior to their procedures. Qualifications Associates Degree or equivalent from two-year college or technical school AND one-year experience in a medical office, hospital or outpatient surgery center. Experience with health insurance and medical terminology Familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/co-pay/co-insurance Computer experience: Excel, Word, Medical Applications Self-Starter with good phone etiquette Please send resumes to 2

Keywords: Surgical Care Affiliates, Orange , Insurance Verification Representative, Other , Orange, California

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