Providence Health & Services Insurance Verifier - Patient Financial Services in Torrance, California
Providence is calling a Full Time, Day Shift Insurance Verifier to the Patient Financial Services department at Providence Little Company Medical in Torrance, CA.
In this position you will:
Under the supervision of Supervisor, Patient Financial Services Operations the insurance verifier is 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.
Be 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.
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.
Be 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.
Be 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.
Complexity of this position is evidenced by the use of simple and complex medical terminology and insurance verification protocols.
Display professional interpersonal skills and presence when communicating with physicians, staff and the public; as the front-line customer service representative, upholds and exhibits the core values in all communication.
It is essential that this information be documented timely and accurately.
Required qualifications for this position include:
A minimum of one (1) years’ experience in customer service in healthcare registration.
Experience working with insurance verification and authorizations.
Demonstrated outstanding customer service experience
Clerical and computer experience
A track record in organizing and planning
Demonstrated knowledge of CPT and ICD10 coding and medical terminology.
Knowledge and experience with State, Federal and other regulatory Compliance Regulations including: Medicare Secondary Payer, EMTALA ad ABN.
Ability to establish priorities, organize work, be detail oriented and follow through, particularly due to the financial impact if duties are not performed in a timely and accurate manner
Ability to identify and solve complex problems
Ability to perform multiple tasks simultaneously and work effectively with interruptions
Ability to be patient, caring and understanding in dealing with patients who may be upset, confused or difficult
Above average verbal and written communication skills
Demonstrated knowledge of HIPAA rules and regulations
Proven ability to work collaboratively in a team environment in a positive and professional manner
Proven excellent attention to detail with a focus on quality
Demonstrated ability to resolve and escalate issues
Demonstrated ability to effectively manage time and achieve results in a face paced environment
Proven sound judgement and ability to work within delegated authorities
Ability to read, understand and follow oral and written instructions
Demonstrated service excellence with patients, families, sponsors, caregivers and team members
Preferred qualifications for this position include:
High School Diploma or GED equivalent.
Some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
Satisfactory completion of college level Medical Terminology or Medical Assistant course.
Registrar, pre-registration, insurance verification and third party payer experience.
Healthcare experience in a hospital or clinical setting, health insurance or medical office.
Knowledge of insurance billing and managed care preferred.
Certified Healthcare Access Associate (CHAA) or Certified Revenue Cycle Specialist (CRCS).
Basic knowledge of insurance and managed care payers, healthcare registration, Medicare Secondary Payer, EMTALA and ABN
About the Region you will serve.
For nearly 70 years, Providence Health & Services, Southern California, has provided quality and compassionate health care, building on a tradition of excellence, innovation, teamwork and outreach to those most in need.
Anchored by five award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley and South Bay. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.
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: Finance
Req ID: 218658