Hoag Health System
Insurance Verification Specialist : Neuroscience Specialty Clinic
Hoag Health System, Newport Beach, California, us, 92659
Insurance Verification Specialist: Neuroscience Specialty Clinic
Join to apply for the
Insurance Verification Specialist: Neuroscience Specialty Clinic
role at
Hoag Health System . Primary Duties and Responsibilities
The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Provides patient education of service benefits, status of pending or denied authorizations, and assistance in resolving issues. Determines copayment and deductible amounts, maintains charge entry, and reconciles daily charges. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned. Qualifications
Education and Experience High school diploma or equivalent required. Two to three years experience in patient access or related healthcare experience 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. Degree and/or certificate in related field preferred.
Additional Department Specific Requirements
Are
Outpatient Treatment Center: Two to three years experience in hospital registration with strong emphasis in Oncology preferred. Radiation Oncology: Two to three years experience in hospital registration with strong emphasis in Oncology preferred.
Employment Details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care
#J-18808-Ljbffr
Join to apply for the
Insurance Verification Specialist: Neuroscience Specialty Clinic
role at
Hoag Health System . Primary Duties and Responsibilities
The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Provides patient education of service benefits, status of pending or denied authorizations, and assistance in resolving issues. Determines copayment and deductible amounts, maintains charge entry, and reconciles daily charges. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned. Qualifications
Education and Experience High school diploma or equivalent required. Two to three years experience in patient access or related healthcare experience 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. Degree and/or certificate in related field preferred.
Additional Department Specific Requirements
Are
Outpatient Treatment Center: Two to three years experience in hospital registration with strong emphasis in Oncology preferred. Radiation Oncology: Two to three years experience in hospital registration with strong emphasis in Oncology preferred.
Employment Details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care
#J-18808-Ljbffr