Insurance Verification Specialist II

5 days ago

Irvine, California, United States Hoag Memorial Hospital Presbyterian Full time
Job Summary

We are seeking a highly skilled Insurance Verification Specialist II to join our team at Hoag Memorial Hospital Presbyterian. As a key member of our patient access team, you will be responsible for verifying insurance and benefits coverage for services in assigned departments. This role requires strong communication and organizational skills, as well as the ability to work effectively with patients, insurance companies, and clinical departments.

Key Responsibilities
  • Verify insurance and benefits coverage for services in assigned departments
  • Work directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services
  • Review physician orders for medical necessity and accuracy and provide clinical documentation to support proper authorization
  • Accurately and timely code insurance in the billing system
  • Provide patient education on service benefits, status of pending or denied authorizations, and assist in resolving issues
  • Determine copayment and deductible amounts, maintain charge entry, and reconcile daily charges
  • Accurately enter insurance benefits and authorization information into patient accounts
  • Seek assistance as needed to maintain service levels
  • May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested
  • Perform other duties as assigned
Requirements
  • High school diploma or equivalent required
  • Two to three years' experience in patient access or related healthcare experience required
  • One year of experience in Insurance Verification required
  • Intermediate knowledge of Windows computers and data entry required
  • Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred
  • Degree and/or certificate in related field preferred
Work Environment

Hoag Memorial Hospital Presbyterian is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.

  • Insurance Verification Specialist II

    2 weeks ago

    Irvine, California, United States Hoag Memorial Hospital Presbyterian Full time

    Job SummaryWe are seeking a highly skilled Insurance Verification Specialist II to join our team at Hoag Memorial Hospital Presbyterian. As a key member of our patient access team, you will play a critical role in ensuring timely reimbursement of services and providing exceptional patient care.Key ResponsibilitiesVerify insurance coverage and benefits for...

  • Insurance Verification Specialist

    1 week ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job Title: Insurance Verification SpecialistAt Discovery Behavioral Health DBH, we are seeking a highly skilled Insurance Verification Specialist to join our team. As a valued member of our team, you will play a critical role in ensuring that our patients receive the medical procedures they require.Job SummaryThe Insurance Verification Specialist will be...

  • Insurance Verification Specialist OnCall

    1 week ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job Title: Insurance Verification Specialist OnCallAt Discovery Behavioral Health DBH, we are seeking a highly skilled Insurance Verification Specialist to join our team. As an Insurance Verification Specialist, you will play a critical role in ensuring that our patients receive the medical procedures they require by verifying their insurance coverage and...

  • Insurance Verification Specialist OnCall

    4 weeks ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job SummaryDiscovery Behavioral Health DBH is seeking a highly skilled Insurance Verification Specialist to join our team. As an Insurance Verification Specialist, you will play a critical role in ensuring that our patients receive the medical procedures they require by verifying their insurance coverage and benefits information.Key ResponsibilitiesVerify...

  • Insurance Verification Specialist OnCall

    2 weeks ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job DescriptionThe Insurance Verification Specialist plays a vital role in ensuring patients receive the medical procedures they require. As a valued member of the Discovery Behavioral Health team, this individual will contact insurance companies to verify coverage levels and educate patients on their benefits information.ResponsibilitiesVerify patient...

  • Insurance Verification Supervisor

    1 week ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job Title: Insurance Verification SupervisorWe are seeking a highly organized and detail-oriented Insurance Verification Supervisor to join our team at Discovery Behavioral Health DBH. As an Insurance Verification Supervisor, you will be responsible for managing a team of 6-10 people and ensuring a clean billing process for patient billing.Key...

  • Insurance Verification Manager

    3 weeks ago

    Irvine, California, United States Discovery Behavioral Health DBH Full time

    Job SummaryThe Insurance Verification Supervisor plays a crucial role in ensuring a smooth billing process for patients. This position is responsible for managing a team of 6-10 people and overseeing the insurance verification and batch eligibility for all 12 locations and 30+ providers.Key ResponsibilitiesTeam Management: Train new employees, assist with...

  • Commercial Insurance Marketing Analyst II

    1 week ago

    Irvine, California, United States Morris & Garritano Insurance Full time

    {"h1": "Commercial Insurance Marketing Analyst II", "p": "At Morris & Garritano Insurance, we're seeking a highly skilled Commercial Insurance Marketing Analyst II to join our team. As a key member of our marketing team, you will be responsible for the placement of Property & Casualty business, including new and renewal business. You will work closely with...

  • Senior Design Verification Engineer

    5 days ago

    Irvine, California, United States SpaceX Full time

    Sr. Design Verification Engineer (Silicon Engineering)At SpaceX, we're pushing the boundaries of innovation and technology to make humanity a multi-planetary species. As a Sr. Design Verification Engineer (Silicon Engineering), you'll play a critical role in developing cutting-edge next-generation FPGAs and ASICs for deployment in space and ground...

  • Insurance Accounting Specialist

    1 month ago

    Irvine, California, United States LH Global Consulting Full time

    Insurance Accounting Specialist Position at LH Global ConsultingSchedule: 2 days Remote and 3 days in officeOverview:The Insurance Accounting Specialist role at LH Global Consulting focuses on delivering accounting and financial reporting assistance, particularly emphasizing the company's insurance product offerings and reinsurance financials. The successful...

  • Design Verification Specialist

    4 weeks ago

    Irvine, California, United States Apple Full time

    **About Apple**We're a company that's passionate about innovation and making a difference in people's lives. Our team is dedicated to crafting products that are not only cutting-edge but also user-friendly and intuitive.**The Role**We're seeking an exceptionally skilled Design Verification Engineer to join our team. As a key member of our design verification...

  • Digital Verification Engineer

    6 days ago

    Irvine, California, United States Syntiant Full time

    About SyntiantSyntiant is a leading technology company that specializes in developing ultra-low-power, high-performance deep neural network processors. Our mission is to make AI at the edge possible.Job DescriptionWe are seeking a skilled Verification Engineer to join our Hardware Engineering Team. As a Verification Engineer, you will be responsible for...

  • Account Associate II

    2 weeks ago

    Irvine, California, United States Alliant Insurance Services Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Account Associate II to join our team at Alliant Insurance Services. As an Account Associate II, you will be responsible for providing exceptional client service and support in a fast-paced environment.Key ResponsibilitiesInvestigate and resolve client and employee issues related to enrollment...

  • Commercial Insurance Account Manager

    5 days ago

    Irvine, California, United States Insurance Search Specialists Full time

    Job OpportunityCommercial Insurance Account ManagerWe are seeking an experienced Commercial Insurance Account Manager to join our team at Insurance Search Specialists. As a key member of our commercial lines team, you will be responsible for managing a diverse portfolio of middle-market commercial accounts, collaborating with producers, and handling...

  • Financial Specialist II

    2 weeks ago

    Irvine, California, United States Western Growers Family of Companies Full time

    Job Title: Financial Specialist IIWestern Growers Family of Companies is seeking a highly skilled Financial Specialist II to join our team. As a key member of our finance department, you will be responsible for processing financial transactions, maintaining accounts receivable, and managing vendor payments.Key Responsibilities:Maintain and balance group and...

  • Eligibility Specialist II

    2 weeks ago

    Irvine, California, United States Western Growers Family of Companies Full time

    About the RoleWe are seeking a highly skilled Eligibility Specialist II to join our team at Western Growers Family of Companies. As an Eligibility Specialist II, you will play a critical role in ensuring the accuracy and efficiency of our healthcare eligibility and billing processes.Key ResponsibilitiesProcess all transaction types, including adds, terms,...

  • Eligibility Specialist II

    2 weeks ago

    Irvine, California, United States Western Growers Family of Companies Full time

    About the RoleWe are seeking a highly skilled Eligibility Specialist II to join our team at Western Growers Family of Companies. As an Eligibility Specialist II, you will play a critical role in ensuring the accuracy and efficiency of our healthcare eligibility and billing processes.Key ResponsibilitiesProcess all transaction types, including adds, terms,...

  • Financial Specialist II

    5 days ago

    Irvine, California, United States Western Growers Family of Companies Full time

    Job Title: Financial Specialist IIWestern Growers Family of Companies is seeking a highly skilled Financial Specialist II to join our team. As a key member of our finance department, you will be responsible for processing financial transactions, maintaining accounts receivable, and providing exceptional customer service.Key Responsibilities:Process financial...

  • Senior Design Verification Engineer

    7 days ago

    Irvine, California, United States SpaceX Full time

    Job Title: Sr. Design Verification EngineerAt SpaceX, we're pushing the boundaries of innovation and technology to make humanity a multi-planetary species. As a Sr. Design Verification Engineer, you'll play a critical role in ensuring the success of our Starlink network, a revolutionary broadband internet system that's changing the...

  • Commercial Insurance Account Manager Assistant

    16 hours ago

    Irvine, California, United States Insurance Search Specialists Full time

    Job OpportunityWe are seeking a highly skilled Commercial Insurance Account Manager Assistant to join our team at Insurance Search Specialists. As a key member of our commercial lines insurance team, you will provide exceptional support to our Account Managers in delivering outstanding service to our clients.ResponsibilitiesAssist in policy administration,...