2 jobs found

We are looking for an Insurance Verification Coordinator to join a healthcare team in Sacramento, California in a fully onsite role. This Contract to permanent opportunity is ideal for someone who can accurately review coverage details, explain financial responsibility to patients, and stay organized in a high-volume environment. The person in this role will help ensure scheduled services are verified correctly, estimated balances are communicated clearly, and payer information is interpreted with confidence. Responsibilities: • Review insurance plans and benefit details to confirm coverage for scheduled procedures before services are performed. • Analyze payer contracts to identify allowable amounts and support accurate pre-service financial estimates. • Calculate expected patient balances by factoring in copayments, coinsurance, deductibles, and out-of-pocket limits. • Communicate estimated responsibility to patients in a clear, thorough manner while answering benefit-related...

A healthcare company is looking for an Insurance Verifier to support pre-service financial clearance for surgical patients in California. This Insurance Verifier focuses on confirming coverage details, identifying authorization needs, and helping patients understand their expected financial responsibility before scheduled procedures. The Insurance Verifier will work closely with clinical, scheduling, and revenue cycle teams to reduce avoidable claim issues and keep cases on track for timely treatment. Key Responsibilities: • Conduct pre-procedure insurance reviews to confirm active coverage and validate plan benefits for scheduled surgical services. • Assess deductibles, copayments, coinsurance amounts, out-of-pocket limits, and any exclusions that may affect patient liability. • Determine when prior authorization or referral approval is required and record all supporting details for follow-up by the appropriate teams. • Examine scheduled services and provider...