Insurance Verifier
About The Position
This position requires full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. The Insurance Verification Representatives is responsible for timely and accurate verification of medical insurance benefits for both admission and pre-admission visits. The verifiers will be obtaining current eligibility, verifying benefit coverage, and ensuring accurate information is obtained (pre-certification, authorizations & tracking numbers) and documented into the registration system to secure reimbursement. The verifier must be knowledgeable with insurance contracts. Ability to work from work queues and assist with training new staff. Multi-task oriented with the ability to prioritize and coordinate the essential job functions. Maintains effective working relations with coworkers, nurses, physicians, and other hospital staff members in order to insure workflow effectiveness. Greets and assists all customers and visitors, whether in person or by telephone, using guest relation techniques while professionally representing the visions and values of MemorialCare.
Requirements
- A minimum of 2 years insurance verification experience in a hospital or office setting preferred
- Must have strong customer service and computer skills.
- High school diploma or GED preferred
Nice To Haves
- Medical terminology course preferred
- Bilingual (English/Spanish) preferred
Responsibilities
- Verify Insurance benefits for pre-admissions and admissions.
- Ability to understand and advise patients of their financial responsibility (co-pay, co-insurance, deductible, etc).
- Monitor/manages work queues.
- Maintain effective patient flow and complete the insurance verification process.
- Provide excellent customer service and maintain effective working relations with coworkers, office staff and hospital staff members.
- Ability to be at work and be on time.
- Ability to follow company policies, procedures and directives.
- Ability to interact in a positive and constructive manner.
- Ability to prioritize and multitask.
Benefits
- In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities.
- Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents.
- We offer high quality health insurance plan options, so you can select the best choice for your family.
- Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Religious, Grantmaking, Civic, Professional, and Similar Organizations
Education Level
High school or GED
