PIH Health Hospital
The primary responsibility of this position is to facilitate the treatment authorization process for managed care patients (Medicare, HMO and PPO). Performs clerical duties as required by PIH Health Rehab to meet the needs of the patient and facilitating the delivery of care. Works under general supervision and is responsible for the coordination of patient eligibility and referrals, to include submission, tracking, patient scheduling, and closing the loop on all referrals as well as the coordination of treatment for hospital and/or ancillary services. Entails communicating with Office.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and CHIME has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills
Excellent organizational, written, and verbal communications and strong interpersonal skills
Communicate effectively with staff, patients, guarantors, insurance companies, and physicians.
Demonstrates attention to detail
Good English speaking, spelling, reading, and mathematical skills required
Must possess excellent telephone etiquette, and customer service skills.
Proficient computer skills and knowledge in Word, Excel, Outlook, and ability to maneuver through multiple screens in a timely manner
Ability to sort & file material correctly by alphabetic or numeric systems; computer data entry skills; ability to work effectively in fast-paced situations & tight deadlines
Ability to stay on task in a fast and high-pressured environment
Strict adherence to all HIPAA laws
Strong commitment to customer service with demonstrated ability to create a positive patient experience
Demonstrates the ability to work well independently as well as part of a team
Understanding of guidelines for commercial, senior, and Medi-Cal requirements to expedite the treatment authorization process
Ability to develop effective working relationships with all levels of the organization, physician offices and health plans
Required Experience Required:
High School diploma or equivalent
One-year experience performing hospital or medical group related insurance verification or receptionist experience in a hospital/medical office outpatient setting
Preferred:
Prior experience working in medical field/call center environment
Medical terminology knowledge
Medical insurance knowledge
Bilingual skills (English/Spanish)
Address 6557 Greenleaf Ave.
Salary 21.00-30.64
Shift Days
Zip Code 90601
#J-18808-Ljbffr
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and CHIME has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills
Excellent organizational, written, and verbal communications and strong interpersonal skills
Communicate effectively with staff, patients, guarantors, insurance companies, and physicians.
Demonstrates attention to detail
Good English speaking, spelling, reading, and mathematical skills required
Must possess excellent telephone etiquette, and customer service skills.
Proficient computer skills and knowledge in Word, Excel, Outlook, and ability to maneuver through multiple screens in a timely manner
Ability to sort & file material correctly by alphabetic or numeric systems; computer data entry skills; ability to work effectively in fast-paced situations & tight deadlines
Ability to stay on task in a fast and high-pressured environment
Strict adherence to all HIPAA laws
Strong commitment to customer service with demonstrated ability to create a positive patient experience
Demonstrates the ability to work well independently as well as part of a team
Understanding of guidelines for commercial, senior, and Medi-Cal requirements to expedite the treatment authorization process
Ability to develop effective working relationships with all levels of the organization, physician offices and health plans
Required Experience Required:
High School diploma or equivalent
One-year experience performing hospital or medical group related insurance verification or receptionist experience in a hospital/medical office outpatient setting
Preferred:
Prior experience working in medical field/call center environment
Medical terminology knowledge
Medical insurance knowledge
Bilingual skills (English/Spanish)
Address 6557 Greenleaf Ave.
Salary 21.00-30.64
Shift Days
Zip Code 90601
#J-18808-Ljbffr