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United Surgical Partners International, Inc · 5 days ago

Insurance Verification Clerk

Largo, FL

Full-time

Onsite

Entry Level

1+ years exp

United Surgical Partners International, Inc is a healthcare organization focused on providing high-quality surgical services. They are seeking a detail-oriented Insurance Verification Clerk to ensure accurate verification of insurance coverage and eligibility for scheduled surgical procedures, contributing to a seamless patient experience.

Health CareWellness

Responsibilities

Verify insurance eligibility and benefits for scheduled procedures using electronic systems or by contacting payers directly

Confirm authorizations, referrals, and pre-certifications are in place as required by payer guidelines

Communicate effectively with patients regarding insurance coverage, out-of-pocket estimates, and any requirements prior to surgery

Coordinate with billing, scheduling, and clinical teams to ensure all necessary information is accurate and complete

Enter and update insurance and demographic information in the patient management system

Identify and resolve discrepancies related to insurance information and patient accounts

Maintain up-to-date knowledge of insurance plans, billing guidelines, and regulatory requirements

Respond to inquiries from patients, payers, and internal staff in a timely and professional manner

Assist in identifying trends in claim denials related to insurance verification errors

Support the Business Office team with additional administrative tasks as needed

Qualification

Insurance verificationMedical billing/codingCPT/ICD codingEMR systems proficiencyHIPAA complianceAttention to detailCommunication skillsOrganizational skills

Required

High school diploma or equivalent required

Minimum 1–2 years of experience in insurance verification, preferably in a surgical or outpatient setting

Familiarity with major insurance carriers, Medicare, Medicaid, and managed care plans

Knowledge of CPT/ICD coding and medical terminology

Proficiency with EMR systems and eligibility verification platforms (e.g., Availity, Navinet, etc.)

Excellent attention to detail, communication, and organizational skills

Ability to work independently and collaboratively in a team-focused environment

Demonstrated commitment to maintaining patient confidentiality and HIPAA compliance

Preferred

Associate degree or certification in medical billing/coding a plus

Benefits

Medical, dental, vision, and prescription coverage

Life and AD&D coverage

Availability of short- and long-term disability

Flexible financial benefits including FSAs and HSAs

401(k) and access to retirement planning

Paid holidays and vacation

Company

United Surgical Partners International, Inc

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United Surgical Partners International (USPI) is the largest ambulatory surgery platform in the country and operates ambulatory surgery centers and surgical hospitals.

Founded in 1998

Addison, Texas, USA

10001+ employees