Insurance Verifier - OC Support Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) | University of Southern California (USC) - Military Veterans
at HERC - Southern California
The Insurance Verifier has in depth knowledge in all the functions of Insurance Verification. He/She is responsible for verifying patient insurance coverage for treatment/procedures perform or requested. The Verifier is responsible for entering data in an accurate manner and update patient benefit information in the organization's insurance system and verify that existing information is accurate. Essential Duties: 1. Responsible for obtaining insurance information /verification/authorization to ensure financial clearance of patient accounts. Updates both professional and or hospital registration system. 2. Responsible for completing all registration and insurance fields in both professional and/or hospital registration information systems. 3. Responsible for completing Medical Necessity on all Medicare accounts as required 4. Responsible for calling insurance or use Internet portals to obtain and document:, a. Insurance eligibility and benefits, b. Financial responsibility, c. Authorization , pre certs as required, d. Contacting Medical Groups/IPAS as needed 5. Responsible for calculating patient liability on hospital accounts 6. Ensure all insurance plans are properly selected in all registration and scheduling information systems. 7. Responsible for clearing assigned worklists in any of the information systems. 8. Communicate with physician offices regarding proposed admissions, special procedures, outpatient referrals and same day surgeries. 9. Responsible for preparing pre-registration on scheduled procedures ie. Ancillary , diagnostic, surgeries 10. Contact patients and/or MD office as needed for additional information 11. Utilize Fax applications as appropriate 12. Perform document imaging as required 13. Assist Supervisor as needed with special projects and other duties assigned Required Qualifications: Req High school or equivalent Req 1 year Hospital experience or in a related field. Req Knowledge in all the functions of Insurance Verification. Req Knowledge of all insurance types, including government health programs and insurance medical policies. Req Must have excellent communication skills, including the ability to speak, read and write English proficiently. Req Must be comfortable with computers and medical terminology. Req Demonstrate excellent customer service behavior. Preferred Qualifications: Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) The hourly rate range for this position is $19.00 - $29.77. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidates work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Newport Beach, CA
Southern California HERC, established in 2003, is a non-profit organization composed of a diverse group of colleges and universities, and research, medical, and cultural institutions. Our institutions are committed to diversity, equity, and inclusion in the recruitment process and providing a work environment sensitive to work/life balance. We also understand that employment decisions often involve two careers and offer state of the art dual career resources and solutions. SoCal HERC includes members from the Central Coast, Los Angeles, Orange County, Inland Empire, and San Diego.
HERC is a gateway to more jobs in higher education and related fields than any other website. HERC provides job seekers with comprehensive and transparent access to job opportunities, daily job alerts, career advice news and webinars, dual career support, and regional multicultural resources to help with relocating to a new community.
SoCal HERC Member Institutions:
Antioch University, Azusa Pacific, University Cal Tech
CSU Fullerton, CSU Northridge, CSU San Bernardino
Cedars-Sinai Medical Center, Chapman University, Citrus College
Concordia University Irvine, Grossmont-Cuyamaca CCD, Kaiser Permanente School of Medicine
Loyola Marymount University, MiraCosta Community College, Mount St. Mary’s University
North Orange County CCD, Occidental College, Pacific Oaks College & Childrens School
Point Loma Nazarene University, San Diego State University, Soka University of America
The Claremont Colleges, The Salk Institute for Biological Sciences, UC Path Center
UC Irvine, UCLA, UC Riverside
UCSD, University of Redlands, University of San Diego
University of Southern California, Vanguard University, Whittier College
Set up your job seeker account today at: http://www.hercjobs.org