Insurance Verifier/Financial Counselor

Centinela Hospital Medical Center; Dallas (TX); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid vacation and holidays

Bereavement leave and FMLA

401K options

Tuition reimbursement

Life and disability insurance

Additional benefits

Job summary

Prime Healthcare is seeking an Insurance Verifier/ Financial Counselor in Dallas, TX. The role focuses on identifying patient liability, validating benefits, and communicating financial responsibilities before elective procedures.

The position requires strong verification knowledge, multi-tasking, and customer service experience. Full-time days with an 8-hour shift support patients and families across the facility.

Qualifications

• Knowledge of standard insurance verification requirements.
• Well versed in authorization processes for all payers.
• Ability to multi-task and prioritize to meet timelines.
• Analytical and problem-solving skills.
• Customer services experience required.

Responsibilities

• Determine patient liability based on benefits and advise prior to scheduled elective procedures and notify patient of financial responsibility.
• Verify insurance eligibility and benefits for emergent, urgent, and elective services.
• Update patient demographics and insurance information in the account.
• Assist patients in arranging payment responsibility by discharge time for emergent/urgent services.
• Screen and refer patients to government assistance programs or charity/discount options as per policy.
• Coordinate with Case Management to obtain Medicaid/other authorizations as needed.

Skills

Insurance verification

Authorization processes

Multi-tasking

Analytical skills

Customer service

Education

High School / GED

Job description

Overview

Shift’s Available: Days

Employment Type: Full-Time

Hours: 8-hour – 8:00am to 4:30pm

Location: Dallas Medical Center - Farmers Branch, TX

Responsibilities

The Insurance Verifier/ Financial Counselor is responsible for determining 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

• 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).

Here are some of the benefits of working at Prime Healthcare:

• 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

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