Hoag Health System · 1 month ago
Insurance Verification Specialist: Patient Accounting
Costa Mesa, CA
Full-time
Onsite
Entry, Mid Level
2+ years expHoag Health System is a nonprofit regional health care delivery network in Orange County, California. The Insurance Verification Specialist verifies insurance coverage and benefit information, ensuring timely reimbursement and providing patient education regarding their benefits.
Hospital & Health Care
Responsibilities
The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s)
This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services
Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization
Accurately and timely codes insurance in the billing system
Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving
Determines copayment and deductible amounts, maintains charge entry and reconciles daily charges
Accurately enters insurance benefit and authorization information into patient accounts
Seeks assistance as needed to maintain service levels
May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested
Performs other duties as assigned
Qualification
Required
High school diploma or equivalent required
Two to three years' experience in patient access or related healthcare experience required
Intermediate knowledge of Windows computers and data entry required
Preferred
Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred
Degree and/or certificate in related field preferred
Outpatient Treatment Center: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred
Radiation Oncology: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred
Company
Hoag Health System
Hoag is a nonprofit, regional health care delivery system in Orange County, California.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Robert Braithwaite
President and Chief Executive Officer
Eric Cheung
Chief Legal Officer, General Counsel, Senior Vice President
Recent News
PR Newswire
2025-07-14
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