Insurance Verifier

1 week ago

Temecula, California, United States Foundations for Living Full time
Responsibilities

Join the Southwest Healthcare Team

About Us:

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Job Summary:

Southwest Healthcare is seeking an onsite Full-Time Insurance Verifier who will be responsible for duties related to the verification of insurance eligibility, benefits, and authorizations for multiple facilities across the region. Duties include but not limited to:

  • Ensures that the systems are updated according to departmental standards.
  • Provides notification (via fax) to case management of any insurance changes and/or requests for clinical information.
  • Communicates effectively with internal departments, physician offices, health plans, medical groups, patients, and teammates.
  • Calculates patient liability for hospital admissions and/or pre-scheduled procedures and forward patient estimates to the facilities Financial Counselor for collection.
  • Provides support to PAS, PAC, and Centralized Scheduling Leadership teams.

Qualifications

Experience/Training/Experience:

  • High School Graduate or equivalent required.
  • One (1) to Two (2) years' years of experience in patient registration and/or insurance and authorization verifications in a healthcare setting required.
  • Proficient in Microsoft Word, Excel and Powerpoint
  • Ability to complete Insurance verification functions for Inpatient/Observation admissions, and pre-scheduled procedures.
  • Requires knowledge of general office equipment, computers, 10-key, and associated software packages.
  • Medical Terminology Required.

Certifications/Licenses:

  • CHAA Certified preferred.
  • Current CA Driver's License required.

Other Skills and Abilities:

  • Demonstrates knowledge and ensures compliance with the Nurse Practice Act, The Joint Commission and Title 22 standards and guidelines.
  • Demonstrates compliance with hospital policies and procedures at all times.
  • Demonstrates strong leadership, organization, communication and interpersonal skills.
  • Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
  • Must have knowledge of PC and applications.
  • Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and Healthcare staff
  • General knowledge of office procedures and ability to utilize resources in an organized manner.
  • Knowledge of insurance benefits, covered services, billing, and collection procedures for all government insurance programs and commercial programs for acute facilities.
  • Ability to initiate, obtain and/or update verification and authorization requirements as appropriate for patient services for each patient account.
  • Ability to log and maintain daily productivity goals to meet key performance indicators.
  • Ability to discuss personal and financial matters with patients and/or their representatives.
  • Ability to explain upfront cash collection policy to patients regarding the benefits quoted at the time of insurance verification.

Benefit Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Tuition, CEU, Certification, Licenses Reimbursement program
  • Career development opportunities within UHS and its 300+ Subsidiaries
  • More information is available on our Benefits Guest Website:

Southwest Healthcare is owned and operated by subsidiaries of, a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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