Job Description
Profile insights
Here’s how the job qualifications align with your profile.
Skills
Medicare
(Required)
Medical records
Insurance verification
+ show more
Do you have experience in Medicare?
Job details
Here’s how the job details align with your profile.
Job type
Full-time
Location
Estimated commute
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Job address
1900 Sullivan Avenue, Daly City, CA 94015
Full job description
Overview:
The primary purpose of this position is to ensure that appropriate authorization and reimbursement resources are in place for elective services provided. This includes the following: 1) verification of order received from physician and verification of insurance information provided, 2) Accurate and timely determination of authorizations required; 3) Validate that required authorizations are obtained and monitored for appropriateness of the procedure. 4) Adherence to government and non-government program requirements; 5) Effectively communicating with Scheduling and Patient Access the authorization/ program requirements for their elective procedure, personal payment liabilities if known, and options for care and placement that allow for informed decisions by the patient and his/her family while protecting the financial interest of Seton Medical Center. 6) Provides information to Scheduling and Patient Access when authorizations are delayed, denied for rescheduling procedures when no other options are available.
Responsibilities:
Demonstrated expertise in insurance authorization confirmation and follow-up
Demonstrated knowledge of Patient Access, Medical Records, and related departments all have on the impact of reimbursement.
Ability to work well with a variety of positions, including physicians, nurses, Patient Access and Patient Financial Services staff.
Proficient with Microsoft Office Suite, AS400 applications, and database management.
Ability to utilize software applications to maximize automation and efficiency.
Able to learn new software applications and/or programs as needed.
Qualifications:
EXPERIENCE:
Minimum of 1 year experience working with Commercial Insurance, Medi-Cal and Medicare insurance verification, pre-authorizations and authorizations preferred
Here’s how the job qualifications align with your profile.
Skills
Medicare
(Required)
Medical records
Insurance verification
+ show more
Do you have experience in Medicare?
Job details
Here’s how the job details align with your profile.
Job type
Full-time
Location
Estimated commute
Add your address to estimate commute
Job address
1900 Sullivan Avenue, Daly City, CA 94015
Full job description
Overview:
The primary purpose of this position is to ensure that appropriate authorization and reimbursement resources are in place for elective services provided. This includes the following: 1) verification of order received from physician and verification of insurance information provided, 2) Accurate and timely determination of authorizations required; 3) Validate that required authorizations are obtained and monitored for appropriateness of the procedure. 4) Adherence to government and non-government program requirements; 5) Effectively communicating with Scheduling and Patient Access the authorization/ program requirements for their elective procedure, personal payment liabilities if known, and options for care and placement that allow for informed decisions by the patient and his/her family while protecting the financial interest of Seton Medical Center. 6) Provides information to Scheduling and Patient Access when authorizations are delayed, denied for rescheduling procedures when no other options are available.
Responsibilities:
Demonstrated expertise in insurance authorization confirmation and follow-up
Demonstrated knowledge of Patient Access, Medical Records, and related departments all have on the impact of reimbursement.
Ability to work well with a variety of positions, including physicians, nurses, Patient Access and Patient Financial Services staff.
Proficient with Microsoft Office Suite, AS400 applications, and database management.
Ability to utilize software applications to maximize automation and efficiency.
Able to learn new software applications and/or programs as needed.
Qualifications:
EXPERIENCE:
Minimum of 1 year experience working with Commercial Insurance, Medi-Cal and Medicare insurance verification, pre-authorizations and authorizations preferred
💡 Quick Summary
Seeking a career-building opportunity? The PHYSICIAN LIAISON position is now open for candidates interested in the Health Jobs sector. This role in India offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
