Health insurance specialist Jobs in Orange, CA

WHAT WE DO : Meduit is seeking highly qualified candidates to join our Insurance Specialist teams. If you are goal driven, hard-working, and have excellent communication or customer service skills, we invite you to apply with us today! Insurance Specialists are responsible for hospital and physician billing. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.

Essential Duties and Accountabilities :

• Reduce outstanding accounts receivable by managing claims inventory
• Speak to patients and insurance companies in a professional manner regarding their outstanding balances
• Gather information from patients, clients / family members, client clinical areas, government agencies, employers, third party payors and / or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and / or to identify sources of payment for services
• Request, input, verify, and modify patient's demographic, primary care provider, and payor information
• Utilize tools, including computer programs, when indicated
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
• Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review / updating of patient accounts, etc.
• Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
• Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
• Other duties as assigned

Education / Experience / Minimum Qualifications :

Competencies : To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions :

Special Position Requirements :

Work Requirements :

Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state or local protected class.