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University of California - Los Angeles Health

Insurance Verifier

los angeles, CA

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Job description

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: $31.99- $50.24/hourly

Qualifications 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

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

Who can apply

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