Healthcare Insurance Specialist

Pay range: $22-28/hr., depending on experience

Schedule/Shift: Monday- Friday, 8:00am to 5:00pm

Mission Healthcare is seeking a dedicated and detail-oriented Insurance Specialist to join our team. In this role, you will manage the full referral process for non-Medicare referrals, ensuring a seamless experience for patients, physicians, and internal teams. This position requires strong communication skills, attention to detail, and occasional weekend availability.

Responsibilities:

• Manage the end-to-end referral process for non-Medicare referrals, from initiation through completion.
• Accept and process referrals from multiple referral sources using electronic referral systems.
• Complete referrals accurately in Homecare Homebase (HCHB).
• Verify patient demographics, service needs, insurance coverage, and Durable Power of Attorney information, when applicable.
• Obtain insurance verification, eligibility, and authorization for third-party payors, including MIA, Medi-Cal, Managed Care, and other designated coverage.
• Communicate insurance and authorization information in a timely and accurate manner.
• Contact physician offices to acknowledge referrals, confirm order follow-through and signatures, and offer additional support as needed.
• Maintain accurate documentation and referral records in accordance with company standards.

Qualifications:

• Previous experience in insurance verification, referrals, or healthcare administrative support preferred.
• Familiarity with Homecare Homebase (HCHB) and electronic referral systems strongly preferred.
• Knowledge of third-party payors, including Medi-Cal and managed care plans.
• Strong communication and customer service skills, both verbal and written.
• High attention to detail with the ability to manage multiple priorities in a fast-paced environment.
• Ability to work occasional weekends as needed.