Location: Long Beach, CA
Company: Orange Coast Memorial Medical Center
our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary This position requires full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will 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 Memorial Care. 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. 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 Memorial Care-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 Memorial Care Benefits for more information about our Benefits and Rewards. E xperience • A minimum of 2 years insurance verification experience in a hospital or office setting • Must have strong customer service and computer skills.
Education • High school diploma or GED preferred • Medical terminology course preferred • Bilingual (English/Spanish) preferred
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