Hoag Health System
Insurance Verification Specialist - Urology - HHC Newport Beach
Hoag Health System, Newport Beach, California, us, 92659
Insurance Verification Specialist - Urology - HHC Newport Beach
Insurance Verification Specialist - Urology - HHC Newport Beach 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. Responsibilities Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving. 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. About Us Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.
#J-18808-Ljbffr
Insurance Verification Specialist - Urology - HHC Newport Beach 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. Responsibilities Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving. 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. About Us Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.
#J-18808-Ljbffr