Insurance Verifier PD

Title: Insurance Verifier PD

Location: Fountain Valley

Department: Admitting

Status: Per Diem

Shift: Days (8hr shifts)

Pay Rate: $25/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.
  
  

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.