1 jobs found in Gardena, CA

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...