Healthcare Insurance Verifications Specialist

Mission Healthcare; San Diego (CA); Presencial; USD 44.000 - 54.000; Tempo integral

Benefícios oferecidos por esta vaga

401(k) retirement savings plan

Employee Assistance Program (EAP)

Paid vacation, sick leave, andolidays

Tuition Reimbursement

Relocation Assistance

Medical, dental, and vision insurance

Flexible Spending & Health Savings A/C

Disability, life, and AD&D insurance

Resumo da vaga

Mission Healthcare is seeking an Insurance Specialist to manage the full referral process for non-Medicare referrals, coordinating with patients, physicians, and internal teams. You will verify insurance details, obtain authorizations, and ensure accurate documentation in the system.

Strong communication and attention to detail are essential, with occasional weekend availability. The role supports a Monday–Friday schedule (8am–5pm) in our San Diego, CA location and offers a comprehensive

Qualificações

• Experience in insurance verification, referrals, or healthcare administrative support preferred.
• Familiarity with Homecare Homebase (HCHB) and electronic referral systems strongly preferred.
• Knowledge of third-party payors, including Medi-Cal and managed care plans.

Responsabilidades

• Manage the end-to-end referral process for non-Medicare referrals, from initiation through completion.
• Accept and process referrals from multiple referral sources using electronic referral systems.
• Complete referrals accurately in Homecare Homebase (HCHB).
• Verify patient demographics, service needs, insurance coverage, and Durable Power of Attorney information, when applicable.
• Obtain insurance verification, eligibility, and authorization for third-party payors, including MIA, Medi-Cal, Managed Care, and other designated coverage.
• Communicate insurance and authorization information in a timely and accurate manner.
• Contact physician offices to acknowledge referrals, confirm order follow-through and signatures, and offer additional support as needed.
• Maintain accurate documentation and referral records in accordance with company standards.

Conhecimentos

Attention to detail

Communication skills

Customer service

Multitasking

Ferramentas

Homecare Homebase (HCHB)

Descrição da vaga

Mission Healthcare is seeking an Insurance Specialist to manage the full referral process for non-Medicare referrals, coordinating with patients, physicians, and internal teams. You will verify insurance details, obtain authorizations, and ensure accurate documentation in the system.

Strong communication and attention to detail are essential, with occasional weekend availability. The role supports a Monday–Friday schedule (8am–5pm) in our San Diego, CA location and offers a comprehensive