What are the responsibilities and job description for the Insurance Verification Specialist : Neuroscience Specialty Clinic position at Hoag Health System?
Job Info
Job Identification: 126472
Job Category: Revenue Cycle & Coding
Job Shift: Day
Pay Range: $21.44 - $33.16/hour
Remote or Onsite: Onsite
Job Schedule: Full Time
Job Description
Primary Duties and Responsibilities
The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. 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 benefit 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.
Salary : $21 - $33
