Patient Financial Counselor - Help Patients Navigate Billing

Prime Healthcare Services; Victorville (CA); On-site; USD 32,000 - 38,000; Full time

Job summary

Desert Valley Medical Group is seeking a Financial Counselor to determine patient liability based on benefits and to communicate financial responsibilities prior to procedures. The role requires verification of insurance eligibility and updating patient demographics and accounts as needed.

The position involves coordinating with Case Management for Medicaid/authorization needs, assisting patients with arrangements for their responsibility at discharge, and providing clear, empathetic financial

Qualifications

• Knowledge of standard insurance companies and verification requirements.
• Familiar with authorization processes for all payers.
• Ability to multi-task and prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer services experience required; High School Graduate or GED Equivalent.

Responsibilities

• Determine patient liability based on benefits and advise patient prior to scheduled elective procedures; notify patient of financial responsibility.
• Verify insurance eligibility and benefits for emergent and urgent admissions, procedures or other services; communicate patient responsibility to the patient or responsible party.
• Verify and secure accurate patient demographic and insurance information; update patient accounts as needed.
• Assist patients in making arrangements for patient responsibility by discharge for emergent or urgent services; coordinate with Case Management for authorizations as needed.

Skills

Insurance verification knowledge

Authorization processes

Multitasking & prioritization

Analytical thinking

Customer service experience

Education

High School/GED

Job description

Desert Valley Medical Group is seeking a Financial Counselor to determine patient liability based on benefits and to communicate financial responsibilities prior to procedures. The role requires verification of insurance eligibility and updating patient demographics and accounts as needed.

The position involves coordinating with Case Management for Medicaid/authorization needs, assisting patients with arrangements for their responsibility at discharge, and providing clear, empathetic financial