Location: Newport Beach, CA
Company: Hoag Memorial Hospital Presbyterian
to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. He/she 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 of 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 benefits 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. Additionally, the Insurance Verification Specialist III handles more complex accounts and higher volumes.
Tightly monitors day-to-day inventory to ensure insurance authorizations are in place before services are rendered. Maintains productivity expectations with low error rates. Verifies that scheduled services match with the Physician orders on file. Interprets medical policies and Local Coverage Determination (LCDs) to determine coverage requirements and to facilitate proper authorizations. Works all STAT requests within 48 hours. Serves as a Subject Matter Expert (SME) and
internal resource for the team and participates in process improvement projects.
Education and Experience High school diploma or equivalent required. Two to three years’ experience in patient access or related healthcare experience is required. Two years’ insurance verification experience is required. Intermediate knowledge of Windows computers and data entry is required. Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred. Degree and/or certificate or formal training in a related field preferred.
Insurance jobs encompass a variety of roles within the insurance industry, ranging from sales and customer service to risk assessment and claims processing. Professionals in this sector typically work for insurance companies, brokerages, or independent agencies, helping individuals and businesses understand and obtain coverage for potential risks. Key features of insurance jobs include analyzing financial risks, providing expert advice on insurance policies, handling policy renewals, and assisting clients with claims. This field requires strong interpersonal skills, attention to detail, and in some positions, analytical abilities to calculate and price insurance premiums. It's a sector known for its stability, opportunities for growth, and contribution to personal and economic security.
Insurance jobs encompass a variety of roles within the industry focused on assessing risk, providing financial protection, and supporting clients. These positions can range from actuaries who analyze data to predict risk, to claims adjusters who evaluate and process insurance claims. Insurance agents and brokers are also key, selling policies and advising customers on coverage options. The field is known for its stability, as insurance is a necessary service in both good and bad economic times. Moreover, these jobs often require strong analytical skills, attention to detail, and excellent communication abilities, as professionals navigate complex regulations and provide vital assistance to policyholders.
collaborative, and committed not only to patient care but to the growth of our company and our team. We are 100% physical therapist owned outpatient, orthopedic and sports medicine facility. We pride ourself on patient care and believe on one-on-one care.
Each therapist is required to see two patients an hour with the assistance of support staff. The facility is 5500 square feet and includes not only physical therapy but a fully equipped Pilates studio and fitness gym for rehabilitation and post-rehabilitation. We provide our patients a safe environment where they can continue to grow in strength, flexibility and overall health after their care. Newport Physical Therapy has been a trusted
physical therapy clinic who's providers have been making a difference in care for over 30 years. Join our Team: A competitive Salary Team-driven environment including collaboration in patient care and celebrations of employee successes.
In addition, we provide both in office and out of office activities through-out the year. Schedule Flexibility to fit your life style Medical Insurance Vision Insurance Matching 401K Time Off including Paid Time Off, Paid Holidays and Paid Sick Time Exercise Training sessions with our Pilates and/or Personal Trainers at 50% discount Training: We provide training to promote personal growth and continuing education reimbursement $1000 + CE courses on Med
Bridge 30% Employee discount on supplies and products Job Qualification: Must be a graduate of an accredited PT Program and Licensed in the state of California.
If you feel like you are a good fit we encourage you to apply! Send Resume to xyz X@ For more information regarding our facility please view our website: Powered by Jazz HR Compensation details: 42-45 Hourly Wage PI238209b For more details: jobs-search. org/insurance_santa-ana-c426435/staff-physical-therapist-santa-ana_i1969662058
Insurance jobs encompass a variety of roles within the industry focused on assessing risk, providing financial protection, and supporting clients. These positions can range from actuaries who analyze data to predict risk, to claims adjusters who evaluate and process insurance claims. Insurance agents and brokers are also key, selling policies and advising customers on coverage options. The field is known for its stability, as insurance is a necessary service in both good and bad economic times. Moreover, these jobs often require strong analytical skills, attention to detail, and excellent communication abilities, as professionals navigate complex regulations and provide vital assistance to policyholders.
