Insurance Specialist at Mission Healthcare

San Diego, California, United States

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$45,760 – $58,240Compensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Home Health, HospiceIndustries

Requirements

High school graduate (Bachelor’s degree preferred in health-related field)
Knowledge of medical terminology
Experience in health care related field including managed care, third-party payor billing, and/or medical office administration
Great communication skills
Occasional weekend availability

Responsibilities

Manage the total referral process for non-Medicare referrals, including referral initiation, physician, patient, and insurance verification, assignment of referrals, and record keeping
Initiate referral by accepting information from referral sources (including the use of multiple electronic referral systems) and completing referral in Homecare Homebase (HCHB) from start to finish
Call physician offices to thank them for patient referral, ensure that they are following and will sign orders, and ask if there is anything else we can help with
Obtain verification, eligibility, and authorization of patient’s third-party payor, MIA, Med-Cal, Managed Care, and other designated coverage as appropriate, and communicate necessary information in a timely manner
Screen patients to verify client address and telephone number, service needs, insurance, and if applicable, Durable Power of Attorney information

Skills

Key technologies and capabilities for this role

Homecare Homebase (HCHB)Insurance VerificationReferral ManagementEligibility AuthorizationPhysician CommunicationPatient ScreeningElectronic Referral Systems

Questions & Answers

Common questions about this position

What is the pay range for the Insurance Specialist position?

The compensation range is $22.00 to $28.00 hourly.

Is this a remote position, or do I need to work in an office?

This information is not specified in the job description.

What skills and qualifications are required for this role?

Requirements include a high school diploma (Bachelor’s degree in a health-related field preferred), knowledge of medical terminology, experience in healthcare such as managed care or third-party payor billing, and great communication skills.

What is the company culture like at Mission Healthcare?

The culture emphasizes collaboration, compassion, and commitment, guided by core values of Compassion, Accountability, Respect, Excellence, and Service (CARES), with a focus on an inclusive workplace where diversity is valued and every employee feels respected and empowered.

What is the work schedule for this position?

The schedule is Monday through Friday from 8:00am to 5:00pm, with occasional weekend availability required.

Mission Healthcare

Provides home-based healthcare services

About Mission Healthcare

Mission Healthcare provides home-based healthcare services, including home health, home care, and hospice care. Their services cater to patients who prefer receiving medical care at home, such as those recovering from surgery, individuals with chronic illnesses, and patients needing end-of-life care. The company operates through a network of eight operating companies that work closely with insurance providers, physician groups, and hospitals to ensure effective patient care. This collaboration allows Mission Healthcare to offer a wide range of services tailored to individual needs. Unlike many competitors, Mission Healthcare emphasizes personalized, high-quality care, which fosters strong relationships with clients and supports its financial stability. The goal of Mission Healthcare is to deliver exceptional patient-centered care that improves health outcomes for individuals in the comfort of their own homes.

San Diego, CaliforniaHeadquarters

2009Year Founded

GROWTH_EQUITY_VCCompany Stage

HealthcareIndustries

201-500Employees

Benefits

Health Insurance

Paid Vacation

Flexible Work Hours

Risks

Leadership change may lead to strategic shifts or instability.

AI-driven competitors like Medalogix pose a competitive threat.

Dependence on insurance reimbursements could affect financial stability.

Differentiation

Mission Healthcare offers comprehensive home-based care, including home health and hospice services.

The company collaborates with insurance providers and hospitals for seamless patient care.

Mission Healthcare focuses on personalized, high-quality care through a network of eight companies.

Upsides

Growing aging population increases demand for home healthcare services.

Telehealth integration enhances patient care and reduces costs.

Partnerships with tech companies can improve service offerings and operational efficiency.

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