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.
Blue Ridge Surgery Center is a fast pace multi-specialty ambulatory surgical center with 6 OR’s, and 2 procedure rooms. We average 700 cases a month. We are a values base company which places clinical first.
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
contract as applicable and amounts due from self-pay patients are according to the center self-pay guidelines,
Policies and Procedures. The teammate will enter the verification, eligibility and benefit information in the
patient accounting system to include the 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.
Please send resumes to firstname.lastname@example.org