Healthcare Insurance Specialist

Mission Healthcare•San Diego, CA

11d•Onsite

About The Position

Mission Healthcare is seeking a dedicated and detail-oriented Insurance Specialist to join our team. In this role, you will manage the full referral process for non-Medicare referrals, ensuring a seamless experience for patients, physicians, and internal teams. This position requires strong communication skills, attention to detail, and occasional weekend availability.

Requirements

Previous experience in insurance verification, referrals, or healthcare administrative support preferred.
Familiarity with Homecare Homebase (HCHB) and electronic referral systems strongly preferred.
Knowledge of third-party payors, including Medi-Cal and managed care plans.
Strong communication and customer service skills, both verbal and written.
High attention to detail with the ability to manage multiple priorities in a fast-paced environment.
Ability to work occasional weekends as needed.

Responsibilities

Manage the end-to-end referral process for non-Medicare referrals, from initiation through completion.
Accept and process referrals from multiple referral sources using electronic referral systems.
Complete referrals accurately in Homecare Homebase (HCHB).
Verify patient demographics, service needs, insurance coverage, and Durable Power of Attorney information, when applicable.
Obtain insurance verification, eligibility, and authorization for third-party payors, including MIA, Medi-Cal, Managed Care, and other designated coverage.
Communicate insurance and authorization information in a timely and accurate manner.
Contact physician offices to acknowledge referrals, confirm order follow-through and signatures, and offer additional support as needed.
Maintain accurate documentation and referral records in accordance with company standards.