Insurance Verifier/Financial Counselor

Prime Healthcare; Harlingen (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

401K options

Tuition reimbursement options

Life and disability insurance

Other benefits

Job summary

Prime Healthcare in Harlingen, TX is hiring an Insurance Verifier/Financial Counselor for the Admitting department. You will determine patient liability before elective procedures, verify insurance eligibility, and collect or arrange payment as needed.

This full-time role on days requires strong math, attention to detail, and excellent customer service. Benefits include health, dental, vision, vacation, sick time, holidays and a 401(k).

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.

Responsibilities

• Determine patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures; notifies patient 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 government assistance programs as well as Charity or Discounts per the facility policies.
• Works with Case Management in securing Medicaid/Medical treatment authorizations; maintains effective communication skills; proficient in mathematical skills.

Skills

Insurance verification

Customer service

Multitasking

Analytical thinking

Education

High School Diploma or GED

Job description

Overview

Department: Admitting

Shift’s Available: Days

Employment Type: Full Time

Hours: 8-hour shifts

Location: Harlingen Medical Center - Harlingen, TX

Responsibilities

• Determine 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)

Pay Transparention

• 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