Insurance Verification & Authorization Specialist III

University of Southern California; Los Angeles (CA); Presencial; USD 36.000 - 56.000; Jornada completa

Descripción de la vacante

The University of Southern California Keck Hospital seeks a Financial Clearance Specialist III to verify insurance coverage, determine patient liability, and secure required pre-certifications for surgical and diagnostic services.

You will collaborate with clinicians and billing teams, maintain HIPAA-compliant processes, and use Valor software to submit authorizations, ensuring timely eligibility checks and accurate registration data across inpatient and outpatient accounts.

Formación

• Experience in verifying insurance benefits and obtaining authorizations.
• Ability to explain patient financial responsibility and co-pay requirements.
• Knowledge of CPT/ICD coding and payer policies.

Responsabilidades

• Verify insurance coverage for inpatient and outpatient services.
• Determine prerequisites like pre-certifications and referrals.
• Calculate patient liability and collect balances when possible.
• Submit authorizations via Valor software and document outcomes.
• Maintain HIPAA-compliant processes and accurate registration data.

Conocimientos

Insurance verification

Authorization processing

HIPAA compliance

Denial prevention

Customer communication

Educación

High school diploma or GED

Herramientas

Valor software

Descripción del empleo

The University of Southern California Keck Hospital seeks a Financial Clearance Specialist III to verify insurance coverage, determine patient liability, and secure required pre-certifications for surgical and diagnostic services.

You will collaborate with clinicians and billing teams, maintain HIPAA-compliant processes, and use Valor software to submit authorizations, ensuring timely eligibility checks and accurate registration data across inpatient and outpatient accounts.