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 www.scasurgery.com.
Facility Description: Lakeside Surgery Center is a freestanding Ambulatory Surgery Center dedicated to the delivery of care to patients in need of surgical services in an outpatient setting. Employment for Lakeside Surgery Center is through Surgical Care Affiliates (SCA), one of the largest national outpatient surgery providers based out of Illinois. While Lakeside Surgery Center is affiliated with CHI, it is not apart of Lakeside Hosptial.
The insurance Verification teammate is responsible for ensuring scheduled procedures are on the patients 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 individuals 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 principles.
The Insurance Verification teammate will be responsible for calculating co-insurance estimates per the payer contract as applicable and amounts due from self-pay patients are according to the center self-pay guiltiness, Policies and Procedures. The teammate will enter the verification, eligibility, and benefit information in the patient accounting system to include date, time and method used to obtain the verification/eligibility information for each patient. The documentation will include the amount expected from the patient on or before the date of service.
The Insurance Verification clerk is responsible for communicating insurance benefit information and financial responsibility to each patient during a Pre-Registration Financial Orientation call prior to the date of service. The verifier is responsible for verifying the patient demographic and insurance information along with subscriber information and secondary insurance as applicable during the Pre-Registration Financial Orientation Call.
SCA strives to provide excellent customer service to all patients and physicians by promptly, accurately, and efficiently verifying insurance, self-pay accounts and notification to patients prior to the date of service.
Please send resumes to Kbull@lakesideasc.com