Demo

Insurance Verifier

Robert Half
Los Angeles, CA Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 5/19/2025

Job Description

Job Description

We are seeking a detail-oriented and experienced  Insurance Verifier  to join our team. In this position, you will play a key role in ensuring the accuracy and completeness of insurance information, facilitating smooth operations for our healthcare services. This is an excellent opportunity for professionals familiar with insurance authorization processes and proficient in using EPIC software.

Responsibilities :

  • Verify patient insurance information and ensure accuracy in the system.
  • Understand and navigate procedures for HMO, PPO, and Medicare Outpatient services requiring prior authorizations, including knowledge of capitation requirements.
  • Collaborate with various departments to resolve insurance eligibility and authorization issues.
  • Maintain accurate and organized records of verifications and authorizations.
  • Adhere to compliance policies and ensure all work aligns with applicable regulations.
  • Provide excellent customer service to patients and internal stakeholders.

Qualifications :

  • Proficiency with EPIC software  is required.
  • In-depth understanding of HMO, PPO, and Medicare Outpatient authorization processes , including capitation requirements.
  • Strong multitasking and problem-solving skills in a fast-paced environment.
  • Ability to maintain professionalism and confidentiality.
  • Availability to work  Monday through Friday and every other Saturday .
  • Preferred Skills :

  • Previous experience in a similar role within the healthcare industry.
  • Familiarity with medical billing processes and related certifications.
  • Strong communication and organizational skills.
  • Why Join Us?

  • Be a part of a supportive and dynamic team.
  • Gain opportunities to develop and advance your career in the healthcare industry.
  • Competitive compensation and benefits package.
  • If you meet the qualifications and are ready to contribute your skills to our healthcare team, we’d love to hear from you!

    How to Apply :

    Please submit your updated resume and a cover letter detailing your relevant experience.

    Let’s work together to ensure exceptional service and streamlined insurance processes for our patients.

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