Insurance Claim Examiner

3 days ago


Las Vegas, Nevada, United States Surgery Partners Full time
Job Title: Insurance Verification Specialist

About the Role:
Surgery Partners is seeking a detail-oriented Insurance Verification Specialist to join our team. In this role, you will be responsible for verifying medical insurance for all scheduled patients, ensuring active eligibility, policy benefits, and calculation of patient responsibility estimates prior to services being rendered.

Key Responsibilities:
1. Verify medical insurance for all scheduled patients, ensuring active eligibility, policy benefits, and calculation of patient responsibility estimates prior to services being rendered.
2. Maintain knowledge of national/federal insurance networks as well as local insurance networks.
3. Collaborate effectively with patients, medical staff members, and external agencies to ensure seamless communication and service delivery.
4. Develop and maintain strong written and verbal communication skills to effectively interact with patients, medical staff, and external agencies.

Requirements:
1. 1-2 years of experience in healthcare insurance billing, verification, collections, and/or authorizations.
2. High school graduate or equivalent.
3. Ability to multitask and work efficiently in a timely manner.
4. Proficiency in navigating multiple computer software systems and medical insurance portals.

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