Job title: Insurance Verifier
Company: UCLA Health
Job description: DescriptionAs 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: $29.53 – $46.37/hourlyQualificationsWe’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
Expected salary: $29.53 – 46.37 per hour
Location: Los Angeles, CA
Job date: Fri, 01 Nov 2024 05:25:40 GMT
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