Patient Financial Counselor & Insurance Verifier

Garden City Hospital; Garden City (MI); On-site; USD 42,000 - 60,000; Full time

Job summary

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.

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).

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 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.

Skills

Insurance verification

Authorization processes

Analytical thinking

Customer service

Time management

Education

High School/GED

Job description

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.