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Insurance Clerk (FT) - Riverside Surgical Center of Rutherford

Company: Surgical Care Affiliates
Location: Rutherford
Posted on: January 15, 2021

Job Description:

Location: US-NJ-RutherfordType: Full Time Employee# of Openings: 1Category: OtherSystem ID: 11892Overview

Riverside Surgery Center of Rutherford is currently in need of an Insurance Clerk at our center. This position is Full Time and includes excellent benefits! Our multi-specialty center is a fantastic place to work and build your career! We provide a friendly, upbeat environment all to honor our incredible staff.

More great reasons to join our team:

  • Generous Paid Time Off including 8 paid holidays
  • Comprehensive medical, vision and dental insurance
  • Benefits begin on Day One of Employment
  • Employer-paid life and short and long term disability insurance
  • Excellent 401(k) Plan
  • No holidays, weekends, nights or call

    Accountabilities / Responsibilities

    Position Description: The Insurance Verification teammate is responsible for ensuring scheduled procedures are on the patient's insurance covered list and/or the patient meets self-pay criteria. The Insurance Verification teammate will be responsible for verifying insurance coverage, eligibility, benefits, obtaining authorizations and pre-certs as required by the individual insurance company.

    Key Responsibilities:
    • Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
    • Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
    • Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
    • Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
    • 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.
    • The Insurance Verifier will call patients as needed to review patient responsibilities with regard to payment or payment plan.

      Qualifications

      • All applicants must have at least 2 years' experience preferably in an Ambulatory Surgery Center
      • High school diploma or GED required
      • Insurance Verification experience is a must
      • Computer skills, Excel & Word programs
      • Ability to multitask
      • Knowledge of Health Plans and IPA's
      • Experience with HST and Citrix and Navinet preferred
        EEO Statement

        We value Diversity, Inclusion, and Belonging at Surgical Care Affiliates: SCA is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, national origin, disability and genetic information, or any other characteristic protected by law.

        UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

        #SCA #SurgicalCareAffiliates

        Skills Required

        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 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com. PI128412765

Keywords: Surgical Care Affiliates, New York , Insurance Clerk (FT) - Riverside Surgical Center of Rutherford, Healthcare , Rutherford, New York

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