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.
Multi-Specialty surgery center. We are committed to outstanding patient care and clinical outcomes. Our management team is focused on providing high quality care and maintaining strong communication with our patients and physicians. We greatly value the confidence and trust placed in our team by our patient and their families.
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.
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.
Degree of Supervision Provided to Position:
Education, Experience, and Licensure:
Internal Relationships (Works Closely With):
As a representative of Surgical Care Affiliates, all comments, attitudes, actions, and behaviors have a direct effect on the Facility’s image and perceptions of quality service. Interaction with patients, families, physicians, referral sources, affiliating schools, visitors, volunteers, co-workers, supervisors, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, which is congruent with Facility standards and guidelines to promote positive relations.
Please send resumes to Yeneira.firstname.lastname@example.org