Full-TIme Insurance Verification Clerk

Physicians' Surgery Center of Tidewater is seeking a detail-oriented and experienced Insurance Verifier to join our team. The ideal candidate will be responsible for verifying insurance coverage, obtaining pre-authorizations, and ensuring accurate billing for a variety of surgical procedures in our multispecialty surgery center. We are looking for someone with demonstrated longevity in past roles who values long-term career growth and stability.

Key Responsibilities :

• Accurately verify patient insurance coverage for all scheduled surgeries and procedures.
• Obtain required authorizations and pre-certifications from insurance companies before scheduled surgeries.
• Review and document detailed insurance benefits, including co-pays, deductibles, and out-of-pocket maximums.
• Work closely with patients and physicians to resolve any coverage or authorization issues before surgery dates.
• Update patient records with verified insurance information and maintain a high level of accuracy in documentation.
• Communicate effectively with insurance companies to clarify coverage, resolve discrepancies, and escalate complex issues as needed.
• Collaborate with the billing team to ensure clean claims submission and prompt reimbursement.
• Provide patients with an understanding of their financial responsibility before surgery.
• Maintain confidentiality and comply with HIPAA regulations at all times.

Preferred Skills :

• Familiarity with multi-specialty surgical procedures and related insurance coding.
• Knowledge of CPT, ICD-10 codes, and authorization procedures.

Why Join Us?
At Physicians' Surgery Center of Tidewater, we are committed to providing exceptional care to our patients while fostering a supportive work environment for our staff. We offer competitive compensation, comprehensive benefits, and opportunities for growth and advancement for those who show dedication and long-term commitment.

As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.

• Competitive wages
• Health, Dental & Vision Coverage
• 401(k) retirement plan
• Paid Time Off (PTO)
• Company Paid Holidays
• Employee Assistance Programs
• Health Savings Account/ Flexible Spending Account
• Education Assistance
• Short Term Disability and Long Term Disability Insurance
• Travel Assistance when 100+ miles from home for business or vacation
• Free parking

#USP-123

#LI-KB3

Required Skills

• High school diploma or GED required; associate degree or higher in healthcare administration or related field preferred.
• Minimum of 2-5 years of experience in insurance verification, preferably in a healthcare or surgical setting.
• Demonstrated longevity in previous roles; candidates with a stable work history will be prioritized.
• Strong knowledge of health insurance plans, including commercial, Medicare, and Medicaid.
• Experience with electronic medical records (EMR) systems and insurance portals.
• Exceptional attention to detail and accuracy.
• Excellent communication and customer service skills.
• Ability to work effectively in a fast-paced, team-oriented environment.

Required Experience