Description

As an Insurance Verifier, you will be responsible for:

• Determining insurance eligibility, authorization and benefit verification

• Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence

• Answer telephone and written inquires

• Maintain filing systems

• Interface with medical staff and administrative personnel

Salary Range: $28.34- $44.50/hourlyQualifications

We're seeking a self-directed professional with:

• Working knowledge in the insurance verification process and third party verification terminology

• Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completeness

• Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up

• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agencies

• Knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditions

• Knowledge of healthcare insurance and medication prior authorization and basic working knowledge coding

• Knowledge of authorization submission and reimbursement for high-cost specialty services and medication administration

• Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to the authorization submission and claims reimbursement

• Knowledge of medical terminology

• Proficient in basic math

• Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook

• Availability to work rotating weekends and holiday coverage

Note: May subject to test qualifying skills

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.