Providence Insurance Verifier in Tarzana, California
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Providence is calling an Insurance Verifier (Per-Diem/Variable Shift) to Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA.
We are seeking an Insurance Verifier who will be responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information.
The incumbent performs all duties in a manner that promotes the Providence mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organization.
In this position you will:
Promote patient, physician, customer and employee satisfaction by personal example, treating all contacts with respect.
Support and participate in activities that foster customer service.
Communicate and follow the organizational chain of command for notification of patient care/service issues, when appropriate.
Maintain required applicable licensure, certification and education.
Attend and successfully completes general and department orientation, in-service programs and the annual key competencies and mandatory update requirements.
Participate actively in department staff meetings.
Demonstrate effective verbal and written communications.
Verification of insurance eligibility.
Ensuring Admission Notification has been completed.
Identifying services and payers requiring authorization and ensuring required authorizations are in place.
Identifying services requiring a referral and ensuring it is in place.
Identifying services requiring consent forms (egg: Sterilization) and ensuring signed forms are in place.
Ensuring Motor Vehicle Accident, Workers Compensation or other Third Party Liability paperwork has been completed.
Process real time eligibility work queues timely and accurately.
Process assigned denial work queues timely and accurately.
Maintain current knowledge of and competency with numerous Federal, State and other regulatory body compliance regulations and third-party insurance plans.
Use multiple computer applications to establish accounts and obtain verification information. Ensure all computer system entries are completed accurately and timely.
Maintain accurate, clear, concise, and complete account notes and other relevant information.
Closely adhere to set schedules and handle time standards.
Promote PH&S as a premier service organization by treating customers with compassion and respect.
Identify, resolve and escalate major issues and service failures that impede success.
Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handling and disposal of confidential documents and adherence to HIPAA.
Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as PH&S policies and procedures in all aspects of job performance.
Required to think independently and to identify and make complex decisions in a fast-paced environment.
Actively support and incorporate the mission and core values into daily activities. Treats all others with respect and demonstrates excellence, justice and compassion in daily work and relationships with others.
Required qualifications for this position include:
Current LA City Fire Card within 30 days of hire.
One (1) year experience in customer service or healthcare registration.
Clerical and computer experience.
Experience with State, Federal and other regulatory Compliance Regulations, including: Medicare Secondary Payer, EMTALA, and ABN.
Ability to establish priorities, organize work, be detail oriented and follow through, particularly due to the financial impact if duties are not performed in a timely and accurate manner.
Knowledge with State, Federal and other regulatory Compliance Regulations, including: Medicare Secondary Payer, EMTALA, and ABN.
Ability to be patient, caring and understanding in dealing with patients who may be upset, confused or difficult.
Proven effective and respectful face-to-face, telephone and interpersonal communication skills.
Ability to read, understand and follow oral and written instructions.
PC Proficiency in MS Windows and Office applications. Or Demonstrates knowledge of and utilizes electronic and automated work tools (e.g., online access tools to payers, work drivers).
Preferred qualifications for this position include:
2 years of college level coursework.
Completion of college level medical terminology or Medical Assistant course.
Healthcare experience in a hospital or clinical setting, health insurance or medical office or previous registrar, verification or third party payer experience.
About the hospital you will serve.
Providence Cedars-Sinai Tarzana Medical Center is a 245-bed not-for-profit medical center that serves the San Fernando Valley, offering high quality specialty services, including: heart and vascular care, orthopedics, oncology and senior services. Recognizing the special health care needs of women and children, our Women’s Pavilion & Resource Center provides women’s health and maternity care in once central location. The hospital specializes in pediatrics and has one of the largest neonatal intensive care units in the San Fernando Valley. Providence Tarzana has a reputation for clinical excellence and sophisticated technology with a personal touch. Providence Health & Services cares about the people and the lives that we touch each and every day. We are continually driven by the caring tradition of our heritage – the foundation of our Mission and core-values – to embrace respect, compassion, justice, excellence and stewardship. With a rich past reaching back more than 65 years in Southern California, and 150 years in total, Providence Health & Services today celebrates unprecedented growth, recognition for top quality health care, a vibrant employee culture where new ideas are encouraged and a drive to help the underprivileged - all with an eye toward the future.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Patient Services
Req ID: 282641
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