• We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
• We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
• We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
• We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

NW Spine & Pain is a small but busy spine surgery center with two operating rooms-one used for spine surgery with multiple surgeons; and the other used for pain management procedures with two providers. The ideal candidate will be flexible as hours can vary from day to day, eager to learn, and willing to adapt to the needs of the facility. This position has no call, no regular weekends and no holidays. Typical day is done between 5-7pm.

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.

• All applicants must have at least 2 years’ experience preferably in an Ambulatory Surgery Center.
• Computer skills, Excel & Word programs.
• Ability to multitask
• Knowledge of Health Plans and IPA’s.
• Experience with HST and Citrix and Navinet