<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>

<ul><li>Proven experience in insurance verification with specific expertise in <strong>Medi-Cal processes and policies</strong>.</li><li>Familiarity with medical billing and coding terminology (CPT, ICD-10 codes, HCPCS) is preferred.</li><li>Working knowledge of HIPAA regulations and maintaining patient confidentiality.</li><li>Proficiency in insurance verification systems and electronic health records (EHR) systems.</li><li>Strong attention to detail, organizational skills, and the ability to manage multiple priorities.</li><li>Exceptional communication and problem-solving skills.</li></ul><p><br></p>

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