Insurance Verifier/Financial Counselor

Garden City Hospital; Garden City (MI); Vor Ort; USD 42.000 - 60.000; Vollzeit

Zusammenfassung

Garden City Hospital, a teaching facility with a strong commitment to quality care, is seeking an Insurance Verifier/Financial Counselor. You will determine patient liability based on benefits and communicate it prior to elective procedures, helping patients understand their financial responsibilities.

You will verify insurance eligibility, assist with government aid options, coordinate with Case Management, and maintain accurate patient data to ensure smooth billing and discharge planning.

Qualifikationen

• 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).

Aufgaben

• Determine 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.
• 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.
• 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.

Kenntnisse

Insurance verification

Authorization processes

Analytical thinking

Customer service

Time management

Ausbildung

High School/GED

Jobbeschreibung

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org .

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

Education and Work Experience

• 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).

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