Insurance Verifier - Patient Accounting

Prime Healthcare; Bloomington (IN); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a dedicated team at a leading community hospital in Bloomington, Indiana. This role as an Insurance Verifier/Financial Counselor involves assisting patients with their financial responsibilities and ensuring smooth communication regarding insurance benefits. You will be part of a compassionate environment that prioritizes quality healthcare and patient individuality. If you have strong analytical skills and a passion for customer service, this is an exciting opportunity to contribute to a top-rated hospital system and make a meaningful impact in the community.

Qualifications

• Knowledge of standard insurance companies and verification requirements.
• Ability to multi-task and prioritize to meet deadlines.

Responsibilities

• Determine patient liability based on insurance benefits and advise patients.
• Verify insurance eligibility and benefits for admissions and procedures.
• Assist patients in making arrangements for financial responsibility.

Skills

Customer service experience

Analytical skills

Problem-solving skills

Mathematical skills

Multi-tasking

Education

High School Graduate or GED Equivalent

Job description

Overview

At Monroe Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Monroe Hospital is actively seeking new members to join its award-winning team!

Monroe Hospital is a 32-bed community hospital located in beautiful Bloomington, Indiana. We are dedicated to providing superior healthcare, mindful of each patient's individuality and unique needs. Monroe Hospital has been recognized by Healthgrades with the Patient Safety Excellence Award, placing us among the top 10% of all short-term acute care hospitals. For more information, please visit www.monroehospital.com.

We are an equal employment opportunity employer. We prohibit discrimination or harassment based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to law), disability, military status, or genetic information, among others. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The Insurance Verifier/Financial Counselor is responsible for:

1. Determining patient liability based on insurance benefits and advising patients of their financial responsibility prior to scheduled elective procedures.
2. Notifying patients of their financial responsibility and arranging collections before services are rendered for elective care.
3. Verifying insurance eligibility and benefits for emergent and urgent admissions, procedures, or other services, ensuring communication of patient responsibility to the patient or responsible party.
4. Verifying and updating accurate patient demographic and insurance information.
5. Assisting patients in making arrangements for patient responsibility at discharge for emergent or urgent services.
6. Screening and referring patients for possible linkage to government assistance programs, Charity, or Discounts as per policies.
7. Working closely with Case Management to secure Medicaid/Medical treatment authorizations as needed.
8. Maintaining effective communication skills, including verbal, written, and telephone communication.
9. Proficiency 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 and prioritize to meet deadlines.
• Strong analytical and problem-solving skills.
• Customer service experience required.
• High School Graduate or GED Equivalent required (effective 4/1/14 for all new hires).

#LI-AS2