INSURANCE VERIFIER - Full-Time

Responsibilities Join the Southwest Healthcare Team! About Us: Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 6,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community. Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, and Riverside Medical Clinics. For more information, please visit our website at www.swhealthcaresystem.com. Job Summary: The Southwest Healthcare Regional office is seeking a Full-Time Insurance Verifier. This position is onsite and will be based out of our Medical Office Building in Inland Valley. This indivudal will be responsible for duties related to the verification of insurance eligibility, benefits, and authorizations for multiple facilities across the region. Duties include but not limited to: Verify authorization requirements for admission or pre-scheduled services from Health Plan and/or Medical Group and ensure authorization for admission or a pre-scheduled procedure from insurance company is obtained when required. Obtains and scans documents into Document Imaging, such as Physician Orders, Insurance Eligibility and benefits, authorizations, denials and faxed documents. Provides notification (via fax) to case management of any insurance changes and/or requests for clinical information. Communicates effectively with internal departments, physician offices, health plans, medical groups, patients, and teammates. Calculates patient liability for hospital admissions and/or pre-scheduled procedures and forwards patient estimates to the facilities Financial Counselor for collection. Provides support to PAS, PAC, and Centralized Scheduling Leadership teams. Qualifications Experience/Training/Experience: High School diploma required One (1) to two (2) years of experience in patient registration and/or insurance and authorization verifications in a healthcare setting required. Proficient in Microsoft Word, Excel and Powerpoint Ability to complete Insurance verification functions for Inpatient/Observation admissions, and pre-scheduled procedures. Requires knowledge of general office equipment, computers, 10-key, and associated software packages. Medical Terminology Required. Certifications/Licenses: CHAA Certified preferred. Current CA Driver’s License required. Other Skills and Abilities: Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines. Demonstrates compliance with Healthcare policies and procedures at all times. Ability to set priorities and appropriately organize workload and complete assignments in a timely manner. Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public. Must have knowledge of PC and applications. Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and Healthcare staff General knowledge of office procedures and ability to utilize resources in an organized manner. Knowledge of insurance benefits, covered services, billing, and collection procedures for all government insurance programs and commercial programs for acute facilities. Ability to initiate, obtain and/or update verification and authorization requirements as appropriate for patient services for each patient account. Ability to log and maintain daily productivity goals to meet key performance indicators. Ability to discuss personal and financial matters with patients and/or their representatives. Ability to explain upfront cash collection policy to patients regarding the benefits quoted at the time of insurance verification. Benefit Highlights: Challenging and rewarding work environment. Competitive Compensation & Generous Paid Time Off. Excellent Medical, Dental, Vision and Prescription Drug Plans. 401(K) with company match and discounted stock plan. SoFi Student Loan Refinancing Program. Tuition, CEU, Certification, Licenses Reimbursement program. Career development opportunities within UHS and its 300+ Subsidiaries! Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice: At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.