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Insurance Verifier, Full-Time, Days Shift (8-Hours) at KPC GLOBAL MEDICAL CENTERS INC.

, , -

Full Time

Start Date

Immediate

Expiry Date

17 Jul, 26

Salary

31.0

Posted On

18 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Authorization Acquisition, Pre-certification, Patient Communication, Financial Counseling, Documentation, Medical Assistance Identification, Reimbursement Coordination, Case Management Collaboration, Compliance

Industry

Hospitals and Health Care

Description

JOB SUMMARY: Verifies insurance benefits on all admissions and encounters to determine the level of insurance coverage for compliance with hospital admission policy. Obtains authorizations and pre-certifications in compliance with third party payers, State or Federal agencies. Collaborates with other departments as need to ensure proper reimbursement. Works with Case managers to ensure all in-house patients have current certifications and meet criteria for admission. Notifies patients of non-covered services and offers alternatives or advises patient of financial requirements for admission or treatment. Informs patients of estimated financial liability after insurance has been verified. Identifies accounts eligible for medical assistance and forwards to the Financial Counselor. Documents all insurance benefits accurately and legibly. Completes all insurance verification before admission and /or treatment services rendered according to established policies and procedures. Provides copies of Medi-Cal POS slips to appropriate departments. REQUIREMENTS: 1. Minimum Experience: 6 months experience preferred 2. Required License/ Certifications: ABM/MAB/CPI certificate within (90 days upon hire) annual thereafter 3. Has full command (verbal and written) of the English language 4. Physical Requirements: Possesses the physical abilities, including heavy lifting, and perceptive acuity, e.g., visual, hearing, to satisfactorily perform all direct and indirect patient care functions. Review physical activities and working conditions for this position

Responsibilities

The Insurance Verifier is responsible for verifying insurance benefits, obtaining authorizations, and ensuring compliance with hospital admission policies. They collaborate with case managers and departments to manage patient financial requirements and ensure proper reimbursement.