*Financial Counselor - Claims

Desert Valley Hospital, Inc.; Victorville (CA); Presencial; USD 32.000 - 38.000; Jornada completa

Descripción de la vacante

Desert Valley Medical Group is seeking a Financial Counselor to determine patient liability based on benefits and to communicate financial responsibilities prior to procedures. The role requires verification of insurance eligibility and updating patient demographics and accounts as needed.

The position involves coordinating with Case Management for Medicaid/authorization needs, assisting patients with arrangements for their responsibility at discharge, and providing clear, empathetic financial

Formación

• Knowledge of standard insurance companies and verification requirements.
• Familiar with authorization processes for all payers.
• Ability to multi-task and prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer services experience required; High School Graduate or GED Equivalent.

Responsabilidades

• Determine patient liability based on benefits and advise patient prior to scheduled elective procedures; notify patient of financial responsibility.
• Verify insurance eligibility and benefits for emergent and urgent admissions, procedures or other services; communicate patient responsibility to the patient or responsible party.
• Verify and secure accurate patient demographic and insurance information; update patient accounts as needed.
• Assist patients in making arrangements for patient responsibility by discharge for emergent or urgent services; coordinate with Case Management for authorizations as needed.

Conocimientos

Insurance verification knowledge

Authorization processes

Multitasking & prioritization

Analytical thinking

Customer service experience

Educación

High School/GED

Descripción del empleo

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Responsibilities

Financial Counselor determines patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient 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 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

EDUCATION, EXPERIENCE, TRAINING

• 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 Required (effective 4/1/14 for all new hires)

#LI-DNI

Pay Transparency

Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.00 to $27.64. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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