Insurance Verifier - Per-Diem, Days

Location: 
SMMC-SMMC Hospital
Schedule: 
Per Diem
Shift: 
Day Job
Job Listing: 
SAD002272
Admitting, Registration, Scheduling

MemorialCare � Saddleback Medical Centers of excellence are renowned for prevention, diagnosis and treatment of cancer, heart disease, stroke, pulmonary disease, orthopedics and diabetes; and for leadership in emergency medicine, critical care medicine, breast health, outpatient rehabilitation, advanced imaging, women�s health, geriatric care and surgery, including robotic-assisted procedures. Saddleback Medical Center (Orange County, CA) has consistently been named one of Healthgrades� America�s 50 Best Hospitals, an achievement gained by just 1% of the nation�s hospitals. It has also been honored among Truven Health Analytics� Top 50 Cardiovascular Hospitals in the U.S., consecutively voted Orange County�s Best Hospital in the Orange County Register�s Best of Orange County poll of readers and has appeared on both Becker�s Hospital Review and Thomson Reuters� lists of America�s Best Hospitals. Saddleback�s U.S. News & World Report �high-performance� ranking categories included Heart Failure, Hip Replacement, Knee Replacement and Chronic Obstructive Pulmonary Disease.

The Insurance Verification Representatives is responsible for the timely verification of medical insurance benefits for both admission and pre-admission visits. General duties will be confirming eligibility; verifying specific benefit coverage, and ensures appropriate data (pre-certification, authorizations & tracking numbers) has been obtained and documented into the registration system to secure reimbursement.

This position requires the full understanding and active participation in fulfilling the mission of Saddleback Memorial Medical Center.  It is expected that the employee demonstrate behavior consistent with the core values.  The employee shall support Saddleback Memorial Medical Center�s strategic plan, the goals, and the direction of the performance improvement plan.

Qualifications: 

Experience

A minimum of 5 years admitting/registration/insurance verification or equivalent healthcare experience. Prior leadership experience required.

Knowledge of insurance and payors required.

Ability to communicate effectively verbally and written.

Must have strong customer service and computer skills.

Education/License/Certification

Medical/healthcare related courses preferred

Bilingual preferred

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