Camp Lowell Surgery Center is seeking a detail-oriented Insurance Verifier to join our front-office team. This role is essential in ensuring patients' insurance information is accurate, benefits are verified, and authorizations are obtained prior to scheduled surgical procedures. The ideal candidate will have strong communication skills, experience with insurance verification, and a proactive approach to preventing billing delays or denials.
Verify patient insurance coverage and eligibility prior to scheduled procedures.
Obtain necessary pre-authorizations and pre-certifications from insurance companies.
Confirm patient benefits including deductible, co-pay, co-insurance, and out-of-pocket amounts.
Communicate financial responsibility to patients and collect or arrange for payments as needed.
Coordinate with schedulers, clinical staff, and billing department to ensure accurate documentation and timely submission.
Accurately input insurance data into the electronic medical records (EMR) system.
Contact patients, insurance companies, and referring offices as needed for clarification or follow-up.
Identify and resolve any insurance-related discrepancies prior to the date of service.
Maintain thorough documentation of verification and authorization processes.
Stay up to date on insurance requirements and changes in coverage policies.
High school diploma or GED required.
Minimum of 1–2 years of experience in insurance verification or medical billing, preferably in a surgical or outpatient setting.
Knowledge of major insurance carriers, including Medicare, Medicaid, and commercial plans.
Strong understanding of medical terminology, CPT, and ICD-10 codes.
Excellent communication and customer service skills.
Ability to multitask and prioritize in a fast-paced environment.
Proficiency with EMR and scheduling systems (experience with systems such as NextGen, Epic, or similar is a plus).
Bilingual (English/Spanish) preferred, but not required.
Strength in Numbers
United Surgical Partners International (USPI) and Tenet have combined forces to create the nation’s largest ambulatory surgery provider. Our combined network of exceptional surgical and imaging facilities includes approximately 20 imaging centers, and over 265 short-stay surgical facilities. Together, our partnerships include 50 health systems and more than 4,000 physicians.
Nationwide Experience
Our partners deliver high quality ambulatory solutions in safe, efficient and caring USPI facilities in communities of every size across 29 states. Our physician partners are focused on providing quality patient care, in part because they are invested in their USPI facility. We provide the infrastructure and support they need to perform their best. This is one of the advantages of partnering with USPI.
Quality Patient Services
We share a vision with our physician and health system partners. Our goal is to provide the quality of healthcare services we would insist upon for our own families. Since our founding in 1998, this goal has helped us grow exponentially. Today, our strategic joint venture with Tenet establishes USPI as one of the nation's leading providers of ambulatory solutions.
Operating Excellence
Our size and experience in developing and operating ambulatory facilities and strategic vision allow our facilities to achieve both high patient satisfaction and solid financial results. Moreover, because we engage physicians in the governance and growth of the facility, we also achieve excellent clinical outcomes.