Healthcare Insurance Specialist

The role

You will manage the end-to-end referral process for non-Medicare referrals. This includes verifying insurance, processing referrals in electronic systems, and communicating with physician offices.

What you will do

• 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.

Required qualifications

• 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.

Nice to have

• Previous experience in insurance verification, referrals, or healthcare administrative support preferred.
• Familiarity with Homecare Homebase (HCHB) and electronic referral systems strongly preferred.

Benefits

• 401(k) retirement savings plan
• Mileage reimbursement
• Employee Assistance Program (EAP)
• Paid vacation, sick leave, and holidays
• Tuition Reimbursement
• Relocation Assistance
• Medical, dental, and vision insurance (for employees regularly scheduled 30+ hours per week)
• Flexible Spending & Health Savings Accounts (for employees regularly scheduled 30+ hours per week)
• Disability, life, and AD&D insurance (for employees regularly scheduled 30+ hours per week)
• Pet insurance (for employees regularly scheduled 30+ hours per week)

About the company

Mission Healthcare is the largest home health and hospice company in the western United States, located in seven states. They provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum.