Hoag Health System · 1 month ago
Insurance Verification Specialist: Patient Accounting
2975 Red Hill Ave, Costa Mesa, CA, 92626, US
Full-time
Onsite
New Grad, Entry Level
$23/hr - $33.16/hrHoag Health System is a healthcare organization focused on patient care, and they are seeking an Insurance Verification Specialist. This role is responsible for verifying insurance coverage, obtaining authorizations, and ensuring timely reimbursement for services while working directly with patients and insurance companies.
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
Experience in verifying insurance and benefit coverage
Ability to work directly with patients and insurance companies
Knowledge of obtaining proper authorizations
Understanding of timely reimbursement processes
Ability to review physician orders for medical necessity and accuracy
Experience in providing clinical documentation for authorization
Proficiency in coding insurance in billing systems
Ability to provide patient education regarding benefits and authorizations
Skill in determining copayment and deductible amounts
Experience in maintaining charge entry and reconciling daily charges
Ability to accurately enter insurance benefit and authorization information into patient accounts
Willingness to seek assistance to maintain service levels
Ability to arrange peer-to-peer evaluations between physician offices and insurance companies
Company
Hoag Health System
Hoag is a nonprofit, regional health care delivery system in Orange County, California.
Founded in 1952
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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