los angeles, California
Insurance Verification Rep Job Opening in los angeles, California - Insurance Verification Rep Department Billing Department Position Insurance Verification Clerk Position Summary Responsible for verification of insurance benefits and eligibility Essential Duties and Responsibilities Makes outbound calls to insurance companies to obtain benefit information Evaluates patient insurance coverage to determine compatibility with services to be performed Determines if selected products are appropriate based on patient need and insurance benefit plan Communicates directly with patients regarding their insurance benefits and coordination with medical and/or surgery center staff Additional Responsibilities Assists billing department staff in the performance of their duties as assigned and as workload permits Participates in on-going training for compliance, product information and insurance benefits to augment knowledge of procedures, regulations, and products Follows all Medicare, Medicaid and private insurance regulations and requirements Demonstrates thoroughness with all work related activities and strives to continually improve quality and productivity results displayed by department personnel on an ongoing basis Maintains and promotes patient confidentiality Maintains open lines of communication with department and company management staff Assumes other duties and responsibilities as assigned by the department manager Maintains scheduling flexibility to ensure availability to meet the needs of the department for all hours of operation Abides by all policies, procedures and protocols set forth in the billing department Position Accountability Quality Control: Ensures accurate information relating to benefits, products and procedures is properly conveyed to patients; ensures that company philosophies, policies, and procedures regarding patients, government agencies and other vendors are maintained Customer Service: Ensures that patients are treated with the highest level of customer service, per company policies Records: Ability to add, change, and update patient records Compliance: Ensures effective documentation and adherence to Medicare and private insurance guidelines Records: Responsible for maintaining accurate patient records Confidentiality: Adheres to HIPAA guidelines, company privacy and confidentiality policies Reports to: Billing Department Manager Knowledge Skills and Abilities Required High school diploma or GED equivalent and two to three years experience with medical insurance verification or authorization, or equivalent combination of education and experience Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form Excellent organizational skills and the ability to multi-task Excellent communication and telephone skills
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