Insurance Verification Specialist

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Insurance Verification Specialist in Anaheim, CA.

The Insurance Verification Specialist performs detailed insurance benefit verifications while effectively communicating with the patient, and front office staff, and corresponding with a variety of insurance companies.

The Insurance Verification Specialist is a part of the Revenue Cycle Management Department.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family.

We are proud to offer a range of plans that help protect you in the case of illness or injury including:


* A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. 


* Benefits coverage starts after one full month of employment!


* Generous vacation, sick, and holiday benefits!


* Generous 401(k) matching contributions and more!


* To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Responsibilities

Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists.


* Protect confidential patient health information (PHI) at all stages of the verification of benefits process.


* Perform detailed verifications of benefits for patients seeking treatment.


* Maintain extensive knowledge of different types of payer coverage and insurance policies.


* Pays attention to detail and has great organizational skills.


* Complete insurance verification to determine patient’s eligibility, coverage, co-insurance, and deductibles.


* Verifying any out-of-pocket or out-of-network costs for the patient.


* Actively listens to patients and handles stressful situations with compassion and empathy.


* Position requires staff to spend extensive amounts of time on the phone or on the payer websites with insurance companies


* Verify insurance carriers are listed in the company’s database system, if not request the new carrier be entered.

Non-Essential Functions:


* Excellent customer service skills


* Decision Making


* Excellent ability to communicate both verbally and in writing.


* Ability to prioritize and manage multiple tasks.


* Work well independently and as part of a group.


* Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, and proactive.


* Other duties as assigned. 

PHYSICAL REQUIREMENTS:

The physical requirements of this position are identified below.  Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

CORE COMPETENCIES – WE CARE:



* Welcoming: Anticipates customer requirements and gives high ...