Healthcare Insurance Specialist

Healthcare Insurance Specialist

San Diego, CA

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical missionto take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values. By joining our team, you will have the opportunity to impact patient's lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family! Mission Healthcare offers competitive benefit packages designed to support the well-being of our team.

Benefits Available to All Benefit-Eligible Employees

• 401(k) retirement savings plan
• Mileage reimbursement
• Employee Assistance Program (EAP)
• Paid vacation, sick leave, and holidays
• Tuition Reimbursement

Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week:

• Medical, dental, and vision insurance
• Flexible Spending & Health Savings Accounts
• Disability, life, and AD&D insurance
• Pet insurance

Pay range: $26-28, depending on experience

Schedule/Shift: Mon-Fri 8am-5pm 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.

See what Mission has to offer! At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.

Equal Opportunity & Veteran-Friendly Employer: We are proud to be an equal-opportunity employer committed to building inclusive, compassionate healthcare teams. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. All employment decisions are based on qualifications, merit, and business need.

Veterans and military spouses are encouraged to apply. As a veteran-friendly employer and proud participant in the We Honor Veterans Association, we recognize and value the leadership, teamwork, adaptability, and service-driven experience military-connected individuals bring to patient-centered care and healthcare environments.

Accessibility Commitment: We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.

Inclusion Efforts: We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.

Your Voice Matters: Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.

Communication Consent: By submitting an application, you acknowledge and consent to receive communicationsincluding emails, phone calls, and text messagesfrom Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".