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Part Time Insurance Verification Jobs in California

Select Physical Therapy

$21 - $23/hr

... insurance verification and running end of day reports. Schedule: * Center Location: 4640 Admiralty Way, Marina Del Ray 90292 * Type of Employment: Part Time * Hours: Weekdays (1pm-6pm) * Compensation ...

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Part Time Insurance Verification information

What is the difference between Part Time Insurance Verification vs Part Time Medical Billing?

AspectPart Time Insurance VerificationPart Time Medical Billing
CredentialsHigh school diploma, insurance verification trainingHigh school diploma, billing software knowledge
Work EnvironmentHealthcare offices, clinicsHealthcare offices, billing departments
Industry UsageInsurance verification for patient coverageProcessing and submitting claims, payments

Part Time Insurance Verification focuses on confirming patient insurance coverage, while Part Time Medical Billing involves submitting claims and managing payments. Both roles often work together in healthcare settings but have distinct responsibilities and skill sets.

What are the key skills and qualifications needed to thrive as a Part Time Insurance Verification Specialist, and why are they important?

To thrive as a Part Time Insurance Verification Specialist, you need a solid understanding of insurance policies, attention to detail, and experience with medical terminology, often supported by a high school diploma or equivalent. Familiarity with electronic health record (EHR) systems, insurance portals, and verification software is typically required. Excellent communication, organizational skills, and the ability to multitask help you stand out in this position. These skills are essential for accurately verifying patient insurance coverage, preventing billing errors, and ensuring efficient workflow in healthcare settings.

What does a Part Time Insurance Verification specialist do?

A Part Time Insurance Verification specialist is responsible for confirming patients' insurance coverage and benefits before medical services are provided. They communicate with insurance companies, verify policy details, and ensure that procedures are authorized and covered. This helps prevent billing issues and ensures patients are informed about their financial responsibilities. Part time roles may involve working flexible hours or fewer shifts while still performing these essential administrative tasks.

What are some common challenges faced in a part-time insurance verification role and how can they be managed?

A common challenge in part-time insurance verification is keeping up with frequent changes in insurance policies and provider requirements, which can affect the accuracy of patient coverage information. Additionally, managing high call volumes or tight turnaround times may be demanding, especially when working reduced hours. Effective time management, strong attention to detail, and regular communication with both providers and colleagues help ensure verifications are completed accurately and efficiently. Employers often provide training and updated resources to help part-time staff stay current with changing guidelines.
What are the most commonly searched types of Insurance Verification jobs in California? The most popular types of Insurance Verification jobs in California are:
What are popular job titles related to Part Time Insurance Verification jobs in California? For Part Time Insurance Verification jobs in California, the most frequently searched job titles are:
What job categories do people searching Part Time Insurance Verification jobs in California look for? The top searched job categories for Part Time Insurance Verification jobs in California are:
What cities in California are hiring for Part Time Insurance Verification jobs? Cities in California with the most Part Time Insurance Verification job openings:
Part Time Insurance Verification jobs near you
Insurance Verification Specialist - Part Time

Insurance Verification Specialist - Part Time

Shriners Children's

Sacramento, CA

$24 - $32.47/hr

Part-time

Posted 2 days ago

Shriners Children's rating

7.9

Company rating: 7.9 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

147th of 997 rated hospitals

Job description

Overview

The Insurance Verification Specialist coordinates acquisition of authorization approval or denials for services performed at Shriners Children's Northern California.

This position is non-exempt, part-time and benefits eligible. The pay range for this position is $24.00 - $32.47/hour. Compensation is determined based on relevant experience and department equity.


Responsibilities

Authorizations
  • Maintains a thorough understanding of all major insurance plans and medical terminology and coding practices.
  • Utilizes ICD10 and CPT codes to assist in this process.
  • Responsible for obtaining and communicating pre-authorization as needed per insurance company requirements.
  • Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential insurance coverage issues.
  • Responsible for checking insurance eligibility.
  • Review information for admission including type and duration of service, authorization and treatment codes.
  • Responsible for tracking and obtaining authorizations from various carriers in a timely manner, requesting input from appropriate team members as needed. Requests for additional services (extended stays, visits, authorization extension, letter of medical necessity) and refers to additional resources when necessary.
  • Independently maintains and works from the electronic medical record and additional databases.

Communication

  • Responds promptly and accurately to telephone, written, and electronic inquiries from patients, providers and in-house departments.
  • Notifies Patient Financial Counseling of gaps in coverage and/or high co-pays or deductibles prior to services being rendered.
  • Assist with greeting incoming patients, completing/distributing paperwork, entering pertinent patient information into the electronic medical record, and verifying insurance eligibility.
  • Responsible for explaining benefits, the billing process and financial responsibility to parent/guardian.
Productivity
  • Assists in the development, organization and maintenance of role specific documents, policies, and tools.
  • Meets productivity goals as established by Revenue Cycle Manager and reports daily productivity data to manager.
  • Maintains tracking system for follow up on authorization requests.

This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.


Qualifications

Required:

  • Knowledge of health care insurance systems, HMO, PPO, Medi-Cal, CCS, and other third party payer special requirements
  • Medical terminology sufficient to communicate with patients, health care providers and insurance company representatives regarding appointment, services, procedures and authorizations.
  • Microsoft Office including Word, Excel, Outlook, etc.
  • Knowledge of insurance qualifying information and requirements.
  • Knowledge of practices and protocols related to appointments scheduling procedures.

Preferred:

  • 1 year insurance of verification, authorization, medical billing and utilization experience
  • High School Diploma/GED

What Shriners Children's employees say

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