Insurance Verifier

Compensation

$21.00 - $31.00 / hour

8560-Admitting

14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL")

The Insurance Verifier oversees all admissions and confirms proper verification of patient’s coverage. Reviews all inpatient admissions to verify and re-verify plans, ensures plan codes are correct, and appropriately documents in systems.

• Reviews all inpatient and outpatient admissions, including daily Managed Care report from the previous day, to ensure insurance verifications are accurate and complete.
• Contacts the insurance carrier to verify eligibility for the billing department.
• Ensures health plans are contacted in an appropriate and timely manner when pre-certification is required.
• Enters insurance verification information into Optimum and All Scripts.
• Ensures all insurance information is current and accurate.
• Re-verifies all insurance information on the 2nd and 16th of each month.
• Appropriately notifies leadership and case management of any changes in coverage.
• Contacts contracted vendor to screen patient for insurance coverage.
• Reviews the daily Bill Hold Report for any accounts which do not have verification completed, appropriately completes verification, and enters initials to document/verify completion.
• Maintains confidentiality with regard to patients, families, employees, and visitors.

• One year of admitting/registration office experience
• High School Diploma or GED
• Basic Understanding of Medical Terminology
• Excellent written and verbal communication skills in English
• Strong time management skills
• Ability to multitask and maintain a work pace appropriate to workload
• Computer literacy and proficiency
• Must demonstrate customer service skills appropriate to the job