Insurance Verifier/Financial Counselor

Responsibilities

• Contact health plan carriers to obtain eligibility information ensuring accuracy and timeliness.
• Aid patients in understanding their insurance coverage and financial responsibilities.
• Coordinate payment for scheduled and elective services according to payer specifications.
• Collect payments, discuss payment arrangements, create estimates, and advise patients on insurance benefits.
• Assess and validate physician orders for appropriateness.
• Provide excellent customer service to patients regarding insurance inquiries.
• Manage insurance-related queries from internal and external stakeholders.
• Prepare reports on insurance verification activities and outcomes for management review.
• Solve insurance errors and research insurance requirements.
• Gather all relevant information to process financial assistance requests.
• Document all communication and follow-up in the EMR.
• Pursue and participate in education opportunities to stay current with payer changes.

Qualifications

• Minimum two years’ experience in hospital admissions or billing setting preferred.
• Well versed in authorization processes for all payers.
• Knowledge of medical terminology and insurance policies.
• Excellent organization and time management skills.
• Excellent oral and written communication skills.
• Ability to learn quickly, work independently, and collaborate within a team environment.
• Demonstrates attention to detail and multitasking ability.
• Proficient computer skills.
• High School Graduate or GED Equivalent required (effective 4/1/14 for all new hires).

Pay & Benefits

Resurrection Medical Center offers competitive compensation and a comprehensive benefits package tailored to individual needs. The exact starting compensation will be determined at the time of selection, considering factors such as skillset, experience, education, credentials, and licensure. For more information about benefits, visit here.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

The company is committed to providing equal employment opportunities and prohibiting discrimination based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other protected category. Learn more about your rights here.