Insurance Verifier - Per Diem

Join The Southwest Healthcare Team

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.

Job Summary

Southwest Healthcare is seeking a Per-Diem Insurance Verifier who will be responsible for duties related to the verification of insurance eligibility, benefits, and authorizations for multiple facilities across the region. This position will be onsite at Palmdale Regional Medical Center.

Duties include but not limited to:

• Ensures that the systems are updated according to departmental standards.
• 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 forward patient estimates to the facilities Financial Counselor for collection.
• Provides support to PAS, PAC, and Centralized Scheduling Leadership teams.

Hours will vary Monday-Friday between 5:00am to 5:00pm. Will be required to work at least four (4) days a week for the first month of job training.

Qualifications

Experience/Training/Experience: High School Graduate or equivalent required. One (1) to Two (2) years' 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 Nurse Practice Act, The Joint Commission and Title 22 standards and guidelines. Demonstrates compliance with hospital policies and procedures at all times. Demonstrates strong leadership, organization, communication and interpersonal skills. 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