Insurance Verifier

3 weeks ago

Whittier, United States AHMC Healthcare Full time

Overview:
The Insurance Verifier provides a timely and accurate insurance verification; obtaining current eligibility, benefit coverage and authorizations to provide the necessary data to ensure reimbursement in a timely manner. This position identifies reimbursement resources for patient care and maximizing the effort to capture it. Identifies patient responsibilities, insurance reimbursement and other 3rd party reimbursement sources. Working knowledge of contracts with the ability to interpret per diem rates, case rates, stop loss, resulting in timely and accurate reimbursement. Performs outpatient pre-registration function, maintains effective working relations with coworkers, case management, outside companies, and visitors using guest relation techniques while professionally representing the visions and values of WHMC-AHMC Inc. Works closely with the patient service representatives, reviewing their work for accuracy and assisting them in their duties as needed.

**Responsibilities**:
This position requires the full understanding and active participation in fulfilling the mission of WHMC- Whittier Hospital Medical Center and AHMC Inc. It is expected that the employee demonstrate behavior consistent with the core values of WHMC and AHMC Inc... The employee shall support WHMC- Whittier Hospital Medical Center strategic plan, goals, and direction of the performance improvement plan. The employee will also be expected to support all organizational expectations including, but not limited to; Customer Service, Patient’s Rights, Confidentiality of Information, Environment of Care and WHMC-and AHMC Inc. initiatives.

Qualifications:

- High school graduate or GED equivalent preferred
- Minimum of 3-5 years admitting/ registration and/or business office background
- General knowledge of third party payors, PPO, HMO, POS, EPO, workers compensation, Medicare, Medi-Cal, and Cal-Optima preferred
- Knowledge of insurance authorization/ tracking/ pre-certification preferred
- Positive work ethic
- Excellent interpersonal skills
- Ability to communicate effectively
- Strong organizational skills
- Computer and typing skills preferred
- Medical terminology preferred

  • Insurance Verifier

    3 weeks ago

    Whittier, California, United States AHMC Healthcare Full time

    Overview: The Insurance Verifier provides a timely and accurate insurance verification; obtaining current eligibility, benefit coverage and authorizations to provide the necessary data to ensure reimbursement in a timely manner.  This position identifies reimbursement resources for patient care and maximizing the effort to capture it. Identifies patient...

  • Claims Representative

    7 days ago

    Whittier, United States PIH Health Physicians Full time

    **JOB TITLE: Claims Examiner - Days** **LOCATION: 9557 Greenleaf Avenue, Whittier, CA** **SHIFT: Monday - Friday - 07:00am - 03:30pm** **DURATION - 13 weeks** ** 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA or GED or HIGHER EDUCATION** ***: The claims examiner reports directly to the claims manager. They are primarily responsible for...

  • Clerical Support Clerk

    2 days ago

    Whittier, United States Foremost Legal Services Full time

    **About Us**: Foremost Legal Services is a leading provider of legal copy services and support to a diverse clientele of attorneys across California. With a primary emphasis on Workers’ Compensation and Personal Injury claims, we pride ourselves on delivering top-notch assistance to legal professionals, ensuring seamless operations and effective...

  • Revenue Cycle Analyst

    3 days ago

    Whittier, United States InstantServe LLC. Full time

    **Overview**: **Responsibilities**: - Review and analyze medical records, ensuring proper coding and documentation - Verify insurance eligibility and benefits for patients - Prepare and submit claims to insurance companies - Follow up on unpaid claims and denials, resolving any issues or discrepancies - Collaborate with healthcare providers to ensure...

  • Dental Receptionist

    7 days ago

    Whittier, United States Dr. Sharyl Morrison, DDS Full time

    Overview: We are seeking a receptionist to join our team. As the first point of contact for our dental office, you will play an important role in providing excellent patient service and ensuring the smooth operation of our practice. If you have strong administrative skills, knowledge of dental terminology, and a passion for delivering exceptional customer...

  • IOC Receiving Clerk

    2 weeks ago

    Whittier, United States Los Angeles Regional Food Bank Full time

    Job DescriptionJob DescriptionPOSITION: IOC Receiving ClerkSUPERVISOR: Inventory Control ManagerSTATUS: Hourly/Non-ExemptPAY RANGE: $ $18.25 - 19.25 HourlyCOMPANYThe mission of the Food Bank is to mobilize resources to fight hunger in our community. To fulfill our mission, we source and acquire nutritious food and other products and distribute them to people...

  • Non-Clinical - Finance/Accounting - Financial Administrative Representative

    5 days ago

    Whittier, United States vTech Solution Full time

    SHIFT/SCHEDULE: Part Time - 0.7 FTE; 7am-330pm There are no set days and will be rotating weekends and Holidays.There may be a week where traveler may work 4 days and the following 3 days including the weekend. Must be able to provide/verify a physical proof of HS Diploma or Higher Education POSITION SUMMARYThe Emergency Financial Representative is...

  • Warehouse Staff

    4 weeks ago

    Whittier, United States Los Angeles Regional Food Bank Full time

    Job DescriptionJob DescriptionPAY RANGE: $19.00POSITION: Warehouse StaffSUPERVISOR: Operations ManagerSTATUS: Hourly/Non-Exempt; Union*: Teamsters Local 848COMPANYThe mission of the Food Bank is to mobilize resources to fight hunger in our community. To fulfill our mission, we source and acquire nutritious food and other products and distribute them to...