Scheduler/Insurance Verifier
4 days ago
Los Angeles
Insurance Verifier ESSENTIAL FUNCTIONS: • Ensure all records are maintained in absolute integrity and in compliance with applicable regulations and requirements., • Obtaining required referrals and authorizations via phone fax on-line etc., • Review reports daily for patients requiring authorizations pre-notification and insurance benefit verification., • Obtaining retro-authorizations or updating existing authorizations in a timely manner., • Data entry in a fast-paced environment with high expectation on accuracy., • Updates the patient account with details of the insurance verification., • Coordinating with patients regarding their insurance benefits., • Identifies deductibles co-pays and self-pay accounts., • Notifying the appropriate staff members if treatment or service is denied., • Re-verify patients monthly for active current insurance., • Assist manager and other staff with account questions when presented., • Perform other duties as assigned. KNOWLEDGE: • Knowledge of clinic policies and procedures., • Knowledge of managed care contracts and utilization., • Knowledge of computer systems programs and spreadsheet applications., • Knowledge of medical terminology., • Skill in gathering and reporting claim information., • Skill in solving utilization problems., • Skill in written and verbal communication and customer relations. Scheduler ESSENTIAL FUNCTIONS: • Counseling patients and scheduling surgeries for multiple physicians., • Schedule surgeries and work with primary care physicians on a daily basis to ensure each patient has their history and physicals completed prior to surgery., • Complete all necessary paperwork for each procedure on the physicians schedule., • Precertify any procedures on the schedule that require pre-certification., • Must be capable of multi-tasking and working with a diverse patient population., • Provide back up support for the Front Office as needed., • High School, • 2 years of previous experience scheduling appointments and/or surgeries, • Knowledge of clinic policies and procedures., • Knowledge of managed care contracts and utilization., • Knowledge of computer systems programs and spreadsheet applications., • Skill in gathering and reporting claim information., • Skill in solving utilization problems., • Skill in written and verbal communication and customer relations., • Experience in a medical office as a scheduler., • Fast and accurate data entry., • Service oriented patient demeanor. Benefits: Full-time: • Comprehensive health dental and vision insurance, • Health Savings Account with an employer contribution, • Life Insurance, • PTO, • 401(k) retirement plan with a company match, • And more! Equal Employment Opportunity & Work Force Diversity Our organizationis an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race color creed sex religion marital status age national origin or ancestry physical or mental disability medical condition parental status sexual orientation veteran status genetic testing results or any other consideration made unlawful by federal state or local laws. This practice relates to all personnel matters such as compensation benefits training promotions transfers layoffs our organizationiscommitted to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization. Key Skills Endpoint Security,Hospital management,Logistics & Procurement,Electronics Engineering,Air Pressure Handling Employment Type : Full-Time Experience: years Vacancy: 1