Insurance Verifier at MemorialCare
Date: 5 days ago
City: Fountain Valley, CA
Salary:
$22.89
-
$33.18
per hour
Contract type: Full time
Title: Insurance Verifier
Location: Fountain Valley
Department: Admitting
Status: Full-time
Shift: Days (8hr shifts)
Pay Range: $22.89/hr - $33.18/hr
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
This position requires full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement/patient safety activities.
The Insurance Verification Representatives is responsible for timely and accurate verification of medical insurance benefits for both admission and pre-admission visits. The verifiers will be obtaining current eligibility, verifying benefit coverage, and ensuring accurate information is obtained (pre-certification, authorizations & tracking numbers) and documented into the registration system to secure reimbursement. The verifier must be knowledgeable with insurance contracts. Ability to work from work queues and assist with training new staff. Multi-task oriented with the ability to prioritize and coordinate the essential job functions. Maintains effective working relations with coworkers, nurses, physicians, and other hospital staff members in order to insure workflow effectiveness. Greets and assists all customers and visitors, whether in person or by telephone, using guest relation techniques while professionally representing the visions and values of MemorialCare.
Essential Functions And Responsibilities Of The Job
Location: Fountain Valley
Department: Admitting
Status: Full-time
Shift: Days (8hr shifts)
Pay Range: $22.89/hr - $33.18/hr
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
This position requires full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement/patient safety activities.
The Insurance Verification Representatives is responsible for timely and accurate verification of medical insurance benefits for both admission and pre-admission visits. The verifiers will be obtaining current eligibility, verifying benefit coverage, and ensuring accurate information is obtained (pre-certification, authorizations & tracking numbers) and documented into the registration system to secure reimbursement. The verifier must be knowledgeable with insurance contracts. Ability to work from work queues and assist with training new staff. Multi-task oriented with the ability to prioritize and coordinate the essential job functions. Maintains effective working relations with coworkers, nurses, physicians, and other hospital staff members in order to insure workflow effectiveness. Greets and assists all customers and visitors, whether in person or by telephone, using guest relation techniques while professionally representing the visions and values of MemorialCare.
Essential Functions And Responsibilities Of The Job
- Verify Insurance benefits for pre-admissions and admissions.
- Ability to understand and advise patients of their financial responsibility (co-pay, co-insurance, deductible, etc).
- Monitor/manages work queues.
- Maintain effective patient flow and complete the insurance verification process.
- Provide excellent customer service and maintain effective working relations with coworkers, office staff and hospital staff members.
- Ability to be at work and be on time.
- Ability to follow company policies, procedures and directives.
- Ability to interact in a positive and constructive manner.
- Ability to prioritize and multitask.
- Experience
- A minimum of 2 years insurance verification experience in a hospital or office setting preferred
- Must have strong customer service and computer skills.
- Education
- High school diploma or GED preferred
- Medical terminology course preferred
- Bilingual (English/Spanish) preferred
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