Central Insurance Verification Rep

Position Summary
Work as part of a Team which is responsible for Insurance verification for the physician, hospital, or surgery appointments.
Essential Functions
* Verify insurance plan and network to make sure that the physician office, hospital, or ambulatory surgery center is participating.
* Contacts appropriate payers to verify insurance coverage and benefits.
* Knowledge in the use of understanding electronic verification tools and web based resources.
* Knowledge and familiar with a commercial and state funded insurance plans.
* Must be able to identify an HMO, POS, Open access and/or PPO type plan.
* Verify effective date, group number and claim address.
* Verify copays, deductible amounts, out of pocket amounts and co-insurance.
* Efficiently and accurately input the insurance information on the account for correct billing and proper referral processing.
* Reviews insurance coverage for same day appointments.
Reviews and worksreports for future appointments.
* Rotate with other staff to work reports and immediate attention forms.
* Link patient /guarantor party to the insurance on accounts.

Hours : M-F 8-4:30 Onsite**

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.