Insurance Verification/Admitting Clerk

Surgical Care Affiliates
Easton, MD
Aug 06, 2018
Aug 17, 2018
Accountant, IT
Full Time
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 Facility Description: The Surgery Center of Easton is a busy multispecialty ASC located in Easton, MD. The surgical center has one OR and one Procedure room. The center specializes in Orthopedics (including total joint replacements), General Surgery, and pain management. Accountabilities / Responsibilities The Surgery Center of Easton is seeking an experienced Insurance Verification/Admitting Clerk specialist. The potential candidate must be reliable, detail oriented, self-directed, demonstrates initiative, skilled problem solver and have a positive and cooperative work ethic. The Insurance Verification/Admitting Clerk specialist must be able to accurately explain a patients' insurance benefits and communicate financial responsibility. Hours are Monday-Friday 7am-3:30pm. Hours may occasionally vary based on the needs of the business office. Key Responsibilities: Admission/Intake: Greet patients and visitors to the facility. Register patients for surgery by check in process Notify Insurance Verifier of insurance changes. Confirms primary and secondary insurance order based on COB rules. Accept and record patient cost share payments. Insurance Verification: Verify that sufficient information is available for accurate verification and eligibility. SCA's goal for each patient's insurance verification is complete and accurate. 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 Financial Orientation: Calculate co-pay, and estimated co-insurance due from patients Contact the patient and communicate the center financial policy Qualifications Minimal 3 years experience as an insurance verification specialist in a outpatient surgery center, medical office, hospital or related field. HS diploma Knowledge of insurance lines of business. Knowledge of standard coordination of benefits methodology Knowledgable of HIPPA guidelines, Red Flag Rules, and Medicare Conditions of Coverage requirements Versatile and willing to coordinate with and participate in, when necessary, all other aspects of the Business Office. Possess strong initiative to get daily work finished and processed. Possess a basic knowledge of medical terminology, typing, word processing and computer billing systems. Maintains regular attendance. Ability to set priorities and work independently Ability to handle confidential information Please send resumes to :[Click Here to Email Your Resume] 2018-4537

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