MemorialCare
Insurance Verifier - PD/Days - Laguna Hills - (Job Number: SAD004910)
MemorialCare, Laguna Woods, California, United States, 92637
Pay Competitive
Employment type Other
Job Description
Req#: SAD004910 !*!
Purpose Statement / Position Summary This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee 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 workqueues 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 Saddleback Medical Center. Essential Functions and Responsibilities of the Job 1. Verify Insurance benefits for pre-admissions and admissions. 2. Ability to understand and advise patients of their financial responsibility (co-pay, co-insurance, deductible, etc). 3. Monitor/manages work queues. 4. Maintain effective patient flow and complete the insurance verification process. 5. Provide excellent customer service and maintain effective working relations with coworkers, office staff and hospital staff members. 6. Ability to be at work and be on time. 7. Ability to follow company policies, procedures and directives. 8. Ability to interact in a positive and constructive manner. 9. Ability to prioritize and multitask. Essential Job Outcomes 1. Verifies insurance and benefits 2. Utilize system work queues. 3. Adheres to the patient safety standards. 4. Excellent customer service skills. 5. Participates in and supports department specific performance improvement. 6. “Other duties as assigned” Pay Rate: $24/hr Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. 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. And there’s more... Check out our
MemorialCare Benefits
for more information about our Benefits and Rewards. !*!
Experience • 2 years scheduling experience in a hospital or office setting preferred • Must have strong customer service and computer skills. Education • High school diploma or GED preferred • Medical terminology course preferred • Bilingual (English/Spanish) preferred About the company
MemorialCare is Orange & LA counties' leading integrated health system with the best doctors, urgent care, & pediatricians. Join our family & see the difference today! Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000. Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility. An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.
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Req#: SAD004910 !*!
Purpose Statement / Position Summary This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee 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 workqueues 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 Saddleback Medical Center. Essential Functions and Responsibilities of the Job 1. Verify Insurance benefits for pre-admissions and admissions. 2. Ability to understand and advise patients of their financial responsibility (co-pay, co-insurance, deductible, etc). 3. Monitor/manages work queues. 4. Maintain effective patient flow and complete the insurance verification process. 5. Provide excellent customer service and maintain effective working relations with coworkers, office staff and hospital staff members. 6. Ability to be at work and be on time. 7. Ability to follow company policies, procedures and directives. 8. Ability to interact in a positive and constructive manner. 9. Ability to prioritize and multitask. Essential Job Outcomes 1. Verifies insurance and benefits 2. Utilize system work queues. 3. Adheres to the patient safety standards. 4. Excellent customer service skills. 5. Participates in and supports department specific performance improvement. 6. “Other duties as assigned” Pay Rate: $24/hr Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. 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. And there’s more... Check out our
MemorialCare Benefits
for more information about our Benefits and Rewards. !*!
Experience • 2 years scheduling experience in a hospital or office setting preferred • Must have strong customer service and computer skills. Education • High school diploma or GED preferred • Medical terminology course preferred • Bilingual (English/Spanish) preferred About the company
MemorialCare is Orange & LA counties' leading integrated health system with the best doctors, urgent care, & pediatricians. Join our family & see the difference today! Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000. Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility. An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.
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