Surgery Center Benefits Coordinator

Job description

Description Surgery Benefits Specialist: Peachtree City, GA: Description: The Surgery Benefits Specialist is responsible for verifying surgical insurance benefits, reviewing patient coverage, identifying authorization and referral requirements, and ensuring accurate financial information is obtained prior to surgery. This position plays a key role in supporting a clean billing process, reducing claim denials, and helping patients understand their estimated financial responsibility before surgical services are provided. All employees are expected to exhibit professional, ethical, and respectful behavior in accordance with the company’s mission, vision, and values. Essential Functions: Verify surgical insurance eligibility and benefits for upcoming procedures by utilizing insurance carrier websites, portals, or by contacting insurance carriers directly. Review and document deductible, coinsurance, copay, out-of-pocket maximum, and remaining patient responsibility information. Confirm whether deductible must be met prior to benefits applying. Verify CPT codes, diagnosis codes, place of service, facility participation, and provider participation when applicable. Determine if prior auth...