Job Information
UCLA Health Insurance Verifier (Part-Time) in Los Angeles, California
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: $28.34- $44.50/hourlyQualifications
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
Knowledge of healthcare insurance and medication prior authorization and basic working knowledge coding
Knowledge of authorization submission and reimbursement for high-cost specialty services and medication administration
Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to the authorization submission and claims reimbursement
Knowledge of medical terminology
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
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.