Insurance VerifierCollector

Walnut Creek, CA - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Insurance Verification & Authorization

Verify patient eligibility benefits coverage limitations deductibles co-insurance and out-of-pocket responsibilities prior to date of service.
Obtain and validate prior authorizations and referrals in compliance with payer requirements.
Identify and resolve coverage discrepancies prior to surgery to prevent denials.
Communicate estimated patient financial responsibility clearly and professionally.
Accurately document all verification and authorization details in the practice management system.

Accounts Receivable & Insurance Follow-Up

Manage assigned A/R buckets and maintain productivity standards.
Follow up on unpaid rejected or denied claims in a timely manner.
Submit appeals with appropriate documentation to resolve denials and underpayments.
Review EOBs for accuracy and identify payment variances.
Monitor timely filing limits and prioritize high-dollar accounts.
Identify denial trends and escalate systemic payer issues to leadership.

Benefits:

Comprehensive health dental and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

Equal Employment Opportunity & Work Force Diversity

Our organizationis an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race color creed sex religion marital status age national origin or ancestry physical or mental disability medical condition parental status sexual orientation veteran status genetic testing results or any other consideration made unlawful by federal state or local laws. This practice relates to all personnel matters such as compensation benefits training promotions transfers layoffs our organizationiscommitted to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Insurance Verification & AuthorizationVerify patient eligibility benefits coverage limitations deductibles co-insurance and out-of-pocket responsibilities prior to date of service.Obtain and validate prior authorizations and referrals in compliance with payer requirements.Identify and resolve covera...