Surgical Care Affiliates

  • Insurance Verification Clerk & Surgery Scheduler

    Job Location US-NJ-Mount Laurel
    Type
    Full-Time
    # of Openings
    1
  • 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 200 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 3,000 physicians. For more information on SCA, visit www.scasurgery.com.

     

    Facility Description:

    Multi-specialty surgery center established in 1987 located in Mount Laurel, NJ. High case volume accept most insurances.

    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 position includes back-up to main surgery procedure scheduler.

     

    Key Responsibilities:

    • Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
    • Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
    • Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
    • Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
    • The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable.
    • The Insurance Verifier will call patients as needed to review patient responsibilities with regard to payment.

     

    Qualifications

    Required:

    • Computer skills, excel & word programs
    • Knowledge of Navinet
    • At least 1 year experience 

    Preferred:

    • Experience with HST accounting & scheduling system
    • Knowledge of MVA, PIP, Worker’s Compensation

     Please send resumes to :Melissa.zeno@scasurgery.com

    2018-4321

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