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Full-Time

Insurance Specialist Lead

Posted on 6/27/2024

Mission Healthcare

Mission Healthcare

201-500 employees

Provides home-based healthcare services

Hardware

Compensation Overview

$23 - $28Hourly

Mid

San Diego, CA, USA

Category
Administrative & Executive Assistance
Customer Service & Reception
Required Skills
Communications
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
Responsibilities
  • Initiates referral by accepting information from referral sources and completing referral in Homecare Homebase (HCHB)
  • Call physician offices to thank them for patient referral and ensure they are following and will sign orders
  • Obtain verification, eligibility, and authorization of patient’s third-party payor
  • Screen patients to verify client address, telephone number, service needs, insurance, and Durable Power of Attorney information

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 care that enhances patient outcomes while allowing individuals to receive treatment in the comfort of their own homes.

Company Stage

Private

Total Funding

N/A

Headquarters

San Diego, California

Founded

2009

Growth & Insights
Headcount

6 month growth

2%

1 year growth

2%

2 year growth

2%
Simplify Jobs

Simplify's Take

What believers are saying

  • The growing home healthcare market, driven by an aging population, presents significant growth opportunities for Mission Healthcare.
  • The appointment of Phil Spencer as the new CEO could bring fresh perspectives and strategies to drive the company's growth and innovation.
  • Mission Healthcare's collaboration with Medalogix to leverage generative AI for clinical documentation improvement can enhance the accuracy and efficiency of patient care.

What critics are saying

  • The transition in leadership with the departure of CEO Paul VerHoeve could lead to strategic and operational uncertainties.
  • The home healthcare market is highly competitive, requiring continuous innovation and high service standards to maintain market position.

What makes Mission Healthcare unique

  • Mission Healthcare's focus on home-based healthcare services, including home health, home care, and hospice care, sets it apart from competitors who may not offer such a comprehensive range of services.
  • Their strong partnerships with insurance providers, physician groups, and major hospitals ensure seamless and effective patient care, which is a significant competitive advantage.
  • The company's emphasis on personalized, high-quality care helps build strong relationships with clients, fostering loyalty and long-term engagement.
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