Hoag Health System
Insurance Verification Specialist : Patient Accounting - Full Time - 08HR - Red
Hoag Health System, Costa Mesa, California, United States, 92626
Overview
Join to apply for the
Insurance Verification Specialist: Patient Accounting
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 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. Key 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. Licenses and Certifications License: N/A License Preferred: N/A Certifications Required: N/A Certifications Preferred: N/A 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 than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. 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. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Additional notes
Sign in to set job alerts for “Insurance Verification Specialist” roles. Related roles include Insurance Verification Specialist - Hybrid, Insurance Verification Specialist | Hybrid, Insurance Verification Specialist - Urology - Newport Beach, Insurance Verification Specialist: Neuroscience Specialty Clinic.
#J-18808-Ljbffr
Join to apply for the
Insurance Verification Specialist: Patient Accounting
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 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. Key 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. Licenses and Certifications License: N/A License Preferred: N/A Certifications Required: N/A Certifications Preferred: N/A 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 than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. 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. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. Seniority level
Entry level Employment type
Full-time Job function
Other Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Additional notes
Sign in to set job alerts for “Insurance Verification Specialist” roles. Related roles include Insurance Verification Specialist - Hybrid, Insurance Verification Specialist | Hybrid, Insurance Verification Specialist - Urology - Newport Beach, Insurance Verification Specialist: Neuroscience Specialty Clinic.
#J-18808-Ljbffr