Insurance Verifier

4 weeks ago


Newport Beach CA United States University of Southern California Full time
Insurance Verifier - OC Support Services

Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC
Hospital
Newport Beach, California

The Insurance Verifier has in depth knowledge in all the functions of Insurance Verification. He/She is responsible for verifying patient insurance coverage for treatment/procedures performed or requested. The Verifier is responsible for entering data in an accurate manner and updating patient benefit information in the organization's insurance system to verify that existing information is accurate.

Essential Duties:

  1. Responsible for obtaining insurance information/verification/authorization to ensure financial clearance of patient accounts. Updates both professional and/or hospital registration systems.
  2. Responsible for completing all registration and insurance fields in both professional and/or hospital registration information systems.
  3. Responsible for completing Medical Necessity on all Medicare accounts as required.
  4. Responsible for calling insurance or using Internet portals to obtain and document:
    1. Insurance eligibility and benefits,
    2. Financial responsibility,
    3. Authorization, pre-certifications as required,
    4. Contacting Medical Groups/IPAs as needed.
  5. Responsible for calculating patient liability on hospital accounts.
  6. Ensure all insurance plans are properly selected in all registration and scheduling information systems.
  7. Responsible for clearing assigned worklists in any of the information systems.
  8. Communicate with physician offices regarding proposed admissions, special procedures, outpatient referrals, and same-day surgeries.
  9. Responsible for preparing pre-registration on scheduled procedures (i.e., Ancillary, diagnostic, surgeries).
  10. Contact patients and/or MD office as needed for additional information.
  11. Utilize Fax applications as appropriate.
  12. Perform document imaging as required.
  13. Assist Supervisor as needed with special projects and other duties assigned.

Required Qualifications:

  1. High school diploma or equivalent.
  2. 1 year of hospital experience or in a related field.
  3. Knowledge of all the functions of Insurance Verification.
  4. Knowledge of all insurance types, including government health programs and insurance medical policies.
  5. Excellent communication skills, including the ability to speak, read, and write English proficiently.
  6. Comfortable with computers and medical terminology.
  7. Demonstrate excellent customer service behavior.

Preferred Qualifications:

Required Licenses/Certifications:

  1. Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date (Required within LA City only).

The hourly rate range for this position is $19.00 - $29.77. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

REQ20147339 Posted Date: 08/28/2024

#J-18808-Ljbffr
  • Insurance Verifier

    4 weeks ago


    Los Angeles, CA, United States University of California - Los Angeles Health Full time

    Description As an Insurance Verifier, you will be responsible for: Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff...


  • Valhalla, NY, United States WMCHealth Full time

    Job Summary: The Lead Insurance Verifier is responsible for leading of the financial clearance team ensuring patients receiving services at our organization are financially cleared. This individual is responsible for obtaining timely and accurate authorizations for all hospital services where needed and to ensure that patents are contacted timely in...


  • Pompano Beach, Florida, United States Insurance Nation Full time

    About the RoleThe Insurance Agent role is a fantastic opportunity for individuals who enjoy working with people and are passionate about delivering exceptional customer service. As an Insurance Agent, you will be responsible for providing insurance solutions, participating in customer campaigns, and verifying insurance coverage.The ideal candidate will have...


  • Newport Beach, California, United States AAA Full time

    At AAA, we're seeking a highly skilled Insurance Service Coordinator to join our team. As an Insurance Service Coordinator, you'll be responsible for the maintenance and servicing of insurance policies. Your key responsibilities will include verifying new business applications, processing insurance and membership payments, and providing information to...


  • Pompano Beach, Florida, United States Insurance Nation Full time

    Job OverviewWe are seeking an Insurance Solutions Provider to join our team at Insurance Nation. This role involves providing insurance solutions for new and existing customers, ensuring accurate verification of insurance to maintain customer retention.Key ResponsibilitiesDeliver exceptional customer service, including resolving payment issues and providing...


  • Newport Beach, United States AAA Full time

    AAA - 3880 Birch St [Guest Service / Front Desk] As an Insurance Service Representative at AAA, you'll: Provide administrative support and member service support for the Insurance Agents in the Branch Office; Verify new business applications and process insurance and membership payments; Update electronic member information, maintain filing systems, customer...


  • Los Angeles, CA, United States Halyard Health Full time

    Byram Healthcare Verifier, Associate Locations: Los Angeles, CA Time Type: Full time Posted on: Posted 2 Days Ago Job Requisition ID: REQ_24_22139 At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies,...


  • Newport Beach, California, United States Colorado Center For Reproductive Medicine Full time

    **Job Summary:** Insurance Claims CoordinatorAbout the Role:We are seeking a highly organized and detail-oriented Insurance Claims Coordinator to join our team at Colorado Center For Reproductive Medicine. As a key member of our billing department, you will be responsible for processing insurance claims, following up on outstanding balances, and maintaining...

  • Insurance Agent

    4 weeks ago


    Melville, NY, United States Alliant Insurance Services Full time

    Insurance Agent Location: Melville, NY, USA Req #2911 Date: Tuesday, November 26, 2024 Alliant Insurance is hiring Insurance Agents at Medigap Life! Founded in 2017, Medigap Life is a highly successful call center serving thousands of customers in all 50 states with affordable Medicare health insurance plans. We have grown tremendously housing offices in...


  • Newport Beach, United States Jobot Full time

    Job OverviewThis role involves working with clients to provide top-notch service and support for their insurance needs.Key ResponsibilitiesRespond to client inquiries and resolve issues in a timely mannerProcess renewals and changes to policies according to agency guidelinesData entry and management system proficiencyQuote and process add-ons to existing...


  • Newport Beach, United States American Automobile Association Full time

    Insurance Service Representative The Auto Club is seeking a goal oriented, customer service professional to provide insurance service and clerical support to the Auto Club's insurance agents and members in our branch offices. Qualified candidates will bring their passion for helping others to our best-in-class organization in delivering legendary service to...


  • Newport Beach, United States American Automobile Association Full time

    Insurance Service Specialist The Auto Club is seeking a goal oriented, customer service professional to provide insurance service and clerical support to the Auto Club's insurance agents and members in our branch offices. Qualified candidates will bring their passion for helping others to our best-in-class organization in delivering legendary service to our...


  • Redlands, CA, United States The Juris Agency Full time

    Job Description Arroyo Insurance Services - Redlands is a well-established Independent Commercial and Personal Lines Insurance Agency, serving small to medium-sized businesses, non-profit organizations, and individuals. With a history dating back to 1936 and nearly 70 years of continuous family ownership, we pride ourselves on offering comprehensive risk...


  • Daytona Beach, Florida, United States Radiology Associates of Daytona Full time

    Job OverviewRadiology Associates Imaging is seeking a detail-oriented and customer-focused Medical Insurance Verifier to join our team. As a key member of our pre-authorization team, you will be responsible for verifying insurance pre-authorizations for imaging exams and ensuring that they are valid for the scheduled procedure.Salary: $45,000 - $60,000 per...


  • Pompano Beach, Florida, United States Insurance Nation Full time

    Key ResponsibilitiesProvide Insurance Solutions: Develop and implement insurance plans that meet the needs of new and existing customers.Verify Insurance Coverage: Ensure accurate verification of insurance coverage for dealership customers.Participate in Customer Campaigns: Engage with customers through various campaigns to promote insurance...


  • Pompano Beach, Florida, United States Insurance Nation Full time

    About the RoleWe are currently seeking a highly skilled and motivated Insurance Agent to join our team at Insurance Nation. The successful candidate will be responsible for providing personalized insurance solutions to new and existing customers, ensuring accurate verification of insurance coverage, and meeting performance-based goals established by...


  • Melville, NY, United States CNA Insurance Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. After successful completion of a formal training program, this...

  • Project Engineer

    4 weeks ago


    Newport Beach, CA, United States ZipRecruiter Full time

    Summary: We are seeking an experienced Project Engineer to assist in the management of complex civil and mechanical construction projects. The role is focused on supporting large-scale projects, specifically within wastewater treatment plants, pumping stations, or lift stations. The ideal candidate will have at least 3 years of verifiable experience in...


  • Daytona Beach, Florida, United States Lincare Holdings Full time

    Lincare Holdings is seeking a skilled Pharmacy Insurance Verification Specialist to join our team in the United States. This role involves verifying customer insurance benefits, creating and maintaining data files, and ensuring timely reimbursement.Job Responsibilities Verify customer insurance benefits for new and existing customers.Contact insurance...


  • Fort Walton Beach, Florida, United States Orthopaedic Associates, P.A. Full time

    Job Description:We are seeking a qualified Insurance Benefits Coordinator to join our team at Orthopaedic Associates, P.A. This individual will be responsible for verifying patient eligibility, health plan benefits, and required referrals, as well as updating insurance/claims addresses.Key Responsibilities:Ensuring accurate and efficient claim...