Providence Health & Services Insurance Verifier in Torrance, California
Providence St. Joseph Health is calling an Insurance Verifier to our location in Torrance, CA.
We are seeking an Insurance Verifier to be responsible for ensuring that all outlined client scheduled accounts are verified and accounts are completed accordingly and may include any non-scheduled procedures such as add-ons, direct admits and transfers. The insurance verifier is responsible for making the telephonic process as pleasant as possible for all patients and their families additionally responsible for communicating payment policies and providing patient education as it relates to insurance benefits. This position ensures coordination and communication between departments becoming a resource for the patient, physician, and facility. The insurance verifier must accurately collect and input patient information into the database to ensure accurate billing and complete medical record attainment. The insurance verifier functions includes preregistration, insurance selection, interpretation of insurance contracts, collaborating with Manage Care contracting on obtaining Letter of Agreements, gathering patient complex demographics, benefits collections, and authorizations for the CA region. This position is responsible for the day to day operations of the department that verifies various types of insurance benefits from simple office visits to very complex surgical and medical procedures, securing authorization, notification for Inpatient and Outpatient surgery and Inpatient admissions for account information for reimbursement. This position is also responsible for ensuring patient satisfaction as it relates to securing accounts prior to the patients arrival to the medical centers. Resolve complaints, using patient satisfaction data to improve processes and partnering with clinical departments served to ensure incoming referrals to Providence are maximized. Must maintain up-to-date knowledge and competency with numerous federal, state and other regulatory body compliance regulations and third party insurance plans.
In this position you will have the following responsibilities:
Contact with patients and providers and insurance, by telephone or in person, to interview them with courtesy. Demonstrated service excellence to financial secure appointments and procedures for specialized services.
Courteously and professionally responding to multiple phone calls and requests that often occur simultaneously.
Complete pre-registration, verifying demographics and insurance eligibility and benefits.
Collect co-payment when applicable. If patient unable to pay during preregistration call, inform them to bring the co-payment at the time of the appointment.
Refer patients for financial counseling or financial assistance (Charity), if applicable and based on individual organization policies and procedures.
Utilizes time management skills to ensure completion of daily processes.
Ensure patients are pre-registered in a timely manner, ensuring accounts are complete, compliant, and billable and do not require rework or intervention.
Identify services and payers requiring authorization and ensuring required authorizations are in place.
Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.
Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as PH&S policies and procedures in all aspects of job performance.
Required qualifications for this position include:
1 year of experience in a customer service or healthcare registration role
Clerical and computer experience
A track record in organizing and planning
Demonstrated outstanding customer service experience
Preferred qualifications for this position include:
Some college level course work
Satisfactory completion of college level Medical Terminology course OR satisfactory completion of college level Medical Assistant course
Healthcare experience in a hospital or clinical setting, health insurance or medical office
Registrar, pre-registration, insurance verification and third party payer experience
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence St. Joseph health from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 231975