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Form of workJob Description
The Insurance Verification Representative interfaces with parents, Medi-Cal, California Children Services (CCS), Managed Care, third party payers and physicians to ensure all notification, verification, and authorization activities are completed for Hospital Services. As appropriate, works with the financial counselors to identify alternative sources of coverage for services and helps to facilitate the Medi-Cal or CCS application process. This position updates all demographic and insurance information in the STAR system identified during the Insurance Verification process. Coordinates with the Clinical Care Coordinators (CCCs), and Physician offices/clinics, to obtain medical information that is necessary for authorizations. Works as the gatekeeper to make sure Medi-Cal and CCS accounts have up-to-date authorizations.
Minimum Qualifications/Work Experience: 1 year of hospital experience preferably in registration, 1 year Insurance Verification experience. Knowledge of insurance payers, inter office communication skills, ability to use a calculator to determine percentages, managing and prioritizing an everchanging worklist and the ability to use a multifunction device for scanning and faxing.
Education/Licensure/Certification: High School Diploma, GED or equivalent.
Pay Scale Information: USD $34,944.00 - USD $56,212.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures. Location/Org Data : Closing:
Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!
