Insurance Verifier/Financial Counselor-Communications

Prime Healthcare; Los Angeles (CA); On-site; USD 32,000 - 36,000; Full time

Job summary

Sherman Oaks Hospital, part of Prime Healthcare Foundation, is seeking an Insurance Verifier/Financial Counselor to determine patient liability and communicate it before elective procedures. You will verify eligibility, collect pre-service information, and coordinate payment arrangements with patients and families.

Ideal candidates have strong numerical skills, experience with payer authorizations, and a proven ability to multitask while delivering exceptional customer service in a fast-paced

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

• Determines patient liability and notifies patients prior to scheduled procedures.
• Verifies insurance eligibility and benefits for admissions and services.
• Assists with updating patient demographics and account information.
• Screens and refers patients for government assistance programs and discounts as per policy.
• Coordinates with Case Management for authorizations as needed.

Skills

Insurance verification

Authorization processes

Customer service

Analytical skills

Multitasking

Education

High School Diploma or GED

Job description

Overview

At Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks Hospital is actively seeking new members to join its award-winning team!Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a \"100 Top Hospital\" by Fortune/Merative, holds an \"A\" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.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)

Pay Transparency

Sherman Oaks Hospital 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 $26.22. 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

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf