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Insurance Verifier

Pioneers Memorial Healthcare District
Full Time
Brawley, CA 92227
Posted Today
Job description
Contacts insurance companies and employers to verify eligibility and benefits for all Inpatient/Observation admissions and high ticket ancillary incoming patients. Records information into the system and coordinates with the Financial Services department oin patients with problems on financial arrangements needed.

Reports to review organizations upon admissions and or pre-admissions in timely manner for hospital notification.

Reviews hospital admission records of patients to ascertain the types of coverage and reviews accounts for complete and accurate information, including documentation into Midas for Utilization Review.

Performs verification, authorizations approvals for MRI, Nuclear Medicine, Cardiology, and radiology services. Coordinates with Physician Offices to obtain necessary authorization prior to upcoming visits.

Practices patient confidentiality and security of patient health information. Provides feedback as to the quality, accuracy and timeliness of other departments related to the admission and billing process

In the absence of the Admission Manager and Registration Leaders, directs and monitors the activities of admitting representatives in all areas of the Admitting department.

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