Insurance Verification & Authorization Specialist

City of Hope; California (MO); On-site; USD 52,000 - 78,000; Full time

Job summary

City of Hope in California is seeking an Insurance Specialist/Auditor to verify patient insurance, obtain authorizations, and support pre-registration activities. This role requires independent judgment and close coordination with providers and payors to ensure timely authorizations and accurate records.

The position involves educating patients about their policies, facilitating communications with financial counselors, and documenting in ARIA and EPIC to maintain high-quality patient

Qualifications

• High School Diploma required.
• Three years related healthcare pre-registration/referral experience required.
• Medical terminology and electronic medical record experience required.

Responsibilities

• Identifies insurance companies requiring prior authorization and obtains authorization; coordinates procedures and testing requested by providers.
• Performs pre-registration functions including demographics, clinical, financial, and insurance information verification.
• Educates patients on insurance policy and assists with financial counseling referrals as needed.
• Documents in ARIA and EPIC EMR systems and communicates with payors and department staff to resolve issues.

Skills

Communication skills

Patient service orientation

Attention to detail

Education

High School Diploma

Tools

ARIA

EPIC EMR

Job description

City of Hope in California is seeking an Insurance Specialist/Auditor to verify patient insurance, obtain authorizations, and support pre-registration activities. This role requires independent judgment and close coordination with providers and payors to ensure timely authorizations and accurate records.

The position involves educating patients about their policies, facilitating communications with financial counselors, and documenting in ARIA and EPIC to maintain high-quality patient