What are the responsibilities and job description for the Insurance Verifier position at USPI?
TOPS Surgical Specialty Hospital, located in the heart of Houston, is a physician-owned, award-winning facility known for providing exceptional surgical care with a personal touch. As part of United Surgical Partners International (USPI), we specialize in both outpatient and inpatient procedures across a variety of specialties, including orthopedics, spine, ENT, pain management, and more. Our mission is to deliver safe, efficient, and compassionate care in a welcoming environment that supports both our patients and our team.
Position Overview
We are seeking a detail-oriented and organized Insurance Verifier to join our Business Office team. In this role, you will be responsible for verifying insurance benefits, authorizations, and pre-certifications to ensure accurate financial and clinical processing. This position is critical in supporting both patient access and the financial health of the facility.
Responsibilities
- Verify patient insurance coverage, eligibility, and benefits prior to scheduled procedures
- Confirm and obtain authorizations and pre-certifications as required by payers
- Accurately enter and update patient demographic, insurance, and financial information in the system
- Communicate with insurance companies, patients, and internal departments to resolve discrepancies or missing information
- Provide patients with financial responsibility estimates and assist with payment arrangements when appropriate
- Ensure compliance with HIPAA and all regulatory guidelines
- Partner with admissions, billing, and clinical teams to ensure smooth and timely processing
What We Offer
We care for our communities and our team members by providing a comprehensive benefits package, subject to employment status:
- Medical, dental, vision, and prescription coverage
- Life and AD&D coverage
- Short- and long-term disability options
- Flexible financial benefits including FSAs and HSAs
- 401(k) with access to retirement planning
- Paid holidays and vacation
Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to delivering surgical services in the most efficient and clinically excellent manner. USPI is proud of our inclusive culture. We respect differences, nurture individual contributions, and leverage diversity to make our organization stronger and more responsive to the needs of our patients and physicians.
Required Skills:
- Strong attention to detail with excellent organizational skills.
- Clear communication and customer service skills when working with patients, staff, and payors.
- Ability to work independently and manage multiple priorities.
- Proficiency with computer systems and electronic medical record software.
Required Experience:
- High school diploma or equivalent required; some college coursework preferred.
- Prior experience in healthcare business office, insurance verification, or medical billing required.
- Knowledge of medical terminology, insurance plans, and authorization processes preferred.
- Previous experience in a hospital, ASC, or physician practice setting strongly preferred.