Insurance Verifier/Financial Counselor

Overview:

Department: Admitting

Shift’s Available: Days

Employment Type: Full Time

Hours: 8-hour shifts

Location: Harlingen Medical Center - Harlingen, TX

Responsibilities:

• Determine patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient(s) of financial responsibility; collection arrangement are made prior to services rendered for all elective care.
• Verifies insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party.
• Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed.
• Assists patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services.
• Screens and refers patients for possible linkage to state, county or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies.
• The Insurance Verifier/ Financial Counselor works closely with Case Management in securing Medicaid/Medical treatment authorizations as needed. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Qualifications:

1. Knowledge of standard insurance companies and verification requirements.
2. Well versed in authorization processes for all payers.
3. Ability to multi-task, prioritize needs to meet required timelines.
4. Analytical and problem-solving skills.
5. Customer Services experience required.
6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

 

Pay Transparency:

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Employment Status: Full Time Shift: Days Equal Employment Opportunity: