Insurance Verifier - Per-Diem/Days

Location: 
OCMMC-OCMMC Hospital
Schedule: 
Per Diem
Shift: 
Day Job
Job Listing: 
ORA001676
Front Office Assistant, Receptionist, Customer Service
Essential Functions and Responsibilities of the Job:
  • Ability to process timely verifications to include eligibility, benefits, and authorization numbers 
  • Avoids HIPAA violations by choosing the correct MRN and pre-registers, and registers patients timely and accurately in Epic. 
  • Knowledgeable of Commercial plans, IPA�s, Medicare, Workers Comp, Medi-Cal, and Cal-Optima 
  • Ability to interpret and advise patients of their financial responsibility (copay, coinsurance, deductible) 
  • Monitors and manages work queues to fix errors. 
  • Ability to interpret insurance benefits, authorization requirements, and admission requirements 
  • Ability to role model outstanding customer service skills using AIDET principles. 
  • Ability to communicate effectively in written and verbal form 
  • Serves as a knowledgeable resource to the staff 
  • Ensures all registration forms are complete, signed, and scanned. Enters notes in Epic as required. 
  • Collects and posts payments timely and accurately. Immediately drops payment in safe or cash drawer. 
  • Maintains registration accuracy rate of 95% or better. 
  • Ability to be at work and be on time. 
  • Ability to follow company policies, procedures and directives. 
  • Ability to interact in a positive and constructive manner and promotes conflict resolution. 
  • Ability to prioritize and multitask. 
Qualifications: 
Experience:
  • 2 or more years of experience in Admitting, insurance verification, or business office 
  • Strong customer service skills 
  • Ability to communicate effectively and clearly in both written and verbal form. 
  • General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & Cal-Optima 
  • Bi-lingual (English/ Spanish, or English/ Vietnamese) preferred 
  • Positive work ethic 
  • General computer skills required including: electronic medical record and Microsoft Office 
  • Knowledge of medical terminology 
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