Patient Financial Counselor & Insurance Verifier

Prime Healthcare; Lewiston (ME); Hybrid; USD 28,000 - 29,000; Full time

Benefits offered by this job

Comprehensive benefits package

Benefits customization options

Job summary

Central Maine Medical Center in Lewiston, ME is seeking an Insurance Verifier/ Financial Counselor to determine patient liability and verify benefits prior to scheduled procedures. You will update demographics, discuss financial responsibility, and arrange payment options for patients.

You will also connect patients with government assistance, charity programs, and collaborate with Case Management to obtain authorizations as required.

Qualifications

• Knowledge of standard insurance companies and verification requirements.
• Authorization processes for all payers.
• Ability to multi-task, prioritize needs to meet 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 advise before elective procedures.
• Verify insurance eligibility and benefits for emergent and urgent admissions and services.
• Update patient demographics and account information as needed.
• Assist patients in making arrangements for patient responsibility by discharge for emergent/urgent services.
• Refer patients for linkage to government assistance programs or Charity/Discounts per policies.
• Work with Case Management to secure Medicaid/Medical authorizations as needed.

Skills

Insurance verification knowledge

Authorization processes

Multi-tasking & prioritization

Analytical/problem-solving

Customer service experience

High school diploma or GED

Education

High School Diploma or GED

Job description

Central Maine Medical Center in Lewiston, ME is seeking an Insurance Verifier/ Financial Counselor to determine patient liability and verify benefits prior to scheduled procedures. You will update demographics, discuss financial responsibility, and arrange payment options for patients.

You will also connect patients with government assistance, charity programs, and collaborate with Case Management to obtain authorizations as required.