Job Summary: The Financial Services Specialist coordinates the accurate and complete registration for patients of all reimbursement types. Is responsible for verifying eligibility and benefits for both physician and hospital based services, entering patient demographics, and confirming billing information. Initiates and procures authorization for all ordered services, and documents incoming authorizations and other correspondence. Performs other duties as needed
Education and Experience: Minimum two years of experience in authorization, registration or insurance verification; either with a medical group or hospital setting required.
Knowledge and Skills: Knowledge of health insurance networks (i.e. HMO, PPO, Medical, Medi-Cal, CCS), exceptional communication, interpersonal skills and efficiency. Demonstrated knowledge in demographics, authorization, or registration. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.: Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Coding certification preferred.
Skills Required
- Minimum two years of experience in authorization, registration, or insurance verification in a medical group or hospital setting
- Knowledge of health insurance networks (HMO, PPO, Medi-Cal, CCS)
- Experience verifying eligibility and benefits for physician and hospital services
- Experience entering patient demographics and confirming billing information
- Ability to initiate and procure authorizations and document incoming authorizations and correspondence
- Proficiency with Microsoft Word, Excel, Outlook, PowerPoint and general computer skills
- Ability to operate and troubleshoot basic office equipment (e.g., printer)
- Exceptional communication and interpersonal skills; professional English communication in person, written, and telephone
- Ability to manage multiple assignments, prioritize workload, work independently, and problem-solve
- Physical abilities: distinguish colors, hear sufficiently for conversation and phone, see to read screens and documents
- Understand and embrace the mission, purpose, and identity of Loma Linda University Health
- Coding certification
What We Do
Loma Linda is an industry leader in plant-based foods, providing a wide variety of vegetarian and vegan products, including meat analogues. Founded in 1905, the brand focuses on offering affordable, sustainable, and healthy sources of plant-based protein to help people live healthier, longer lives. It is currently owned by Century Pacific North America Enterprise Inc. as part of its family of plant-based brands.
