Insurance Verification Specialist II
1 day ago
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 play a critical role in ensuring timely reimbursement of services and providing exceptional patient care.
Key Responsibilities- Verify insurance coverage and benefits for patients in assigned departments
- Obtain proper authorizations and ensure timely reimbursement of services
- Review physician orders for medical necessity and accuracy
- Provide clinical documentation to support proper authorization
- Accurately code insurance in the billing system
- Communicate with patients regarding service benefits, status of pending or denied authorizations, and resolve any issues
- Determine copayment and deductible amounts, maintain charge entry, and reconcile daily charges
- Enter insurance benefits and authorization information into patient accounts
- Oversee a larger volume or variety of accounts and serve as a direct liaison between insurance carriers and our organization
- Monitor day-to-day inventory to ensure insurance authorization is in place before services are rendered
- 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
Hoag Memorial Hospital Presbyterian is an Equal Opportunity Employer and is committed to providing a work environment free of discrimination and harassment. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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