Description

As an Insurance Verifier, you will be responsible for: * Determining insurance eligibility, authorization and benefit verification * Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence * Answer telephone and written inquires * Maintain filing systems * Interface with medical staff and administrative personnel Salary Range: $28.34- $44.50/hourly

Qualifications

We're seeking a self-directed professional with: * Working knowledge in the insurance verification process and third party verification terminology * Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness * Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up * Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agencies * Knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions * Knowledge of healthcare insurance and medication prior authorization and basic working knowledge coding * Knowledge of authorization submission and reimbursement for high-cost specialty services and medication administration * Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to the authorization submission and claims reimbursement * Knowledge of medical terminology * Proficient in basic math * Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook * Availability to work rotating weekends and holiday coverage Note: May subject to test qualifying skills