You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an Insurance Verification Representative responsible for coordinating effective and efficient surgery scheduling processes with physician offices and managing patient insurance verifications. The role involves ensuring all business office functions related to scheduling and insurance are complete, communicating schedules and financial information with patients, and ensuring the completion of the prior authorization process.

Key Responsibilities

• Integrate the mission, vision, and values into daily interactions.
• Manage surgical scheduling calls and coordinate patient flow.
• Collect and schedule accurate patient data on all surgeries and procedures.
• Deliver excellent customer service when interacting with physicians, patients, families, vendors, and peers.
• Visit physician offices with the Business Office Manager to build relationships.
• Notify appropriate personnel about special requests by surgeons.
• Verify insurance coverage and assure pre-certifications/referrals are filed before surgeries.
• Contact patients pre-operatively with co-payment and deductible amounts due.
• Keep open communication between physician offices and the facility.
• Log cancellations and maintain accurate statistical information in the software system.
• Perform other duties as required or assigned.

Qualifications

• Experience in a medical office, preferably in an Ambulatory Surgery Center.
• Knowledge of insurance contracts and managed care.
• Motivated, willing to learn, with a proactive attitude.
• ASC scheduling experience is highly valued due to surgeon demands.
• Understanding of Medicare, Blue Cross, UHC, and other Managed Care/Commercial insurances.
• Strong organizational skills and the ability to prioritize and multitask.

Experience

• Minimum 2 years of experience in surgery scheduling and insurance verification, preferably in an Ambulatory Surgery Center setting.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.