Insurance Verifier Financial Counselor

Responsibilities

• Determines patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures.
• Notifies patient(s) of financial responsibility; collection arrangements 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.
• Affords assistance to 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.
• 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

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