Clinic Insurance Verifier

Prime Healthcare•Mesquite, TX

3d•Onsite

About The Position

This is a Full Time position with Day shifts available, working from 8 am to 5 pm Monday through Thursday, and 8 am to 12 pm on Fridays. The role is located at the Dallas Regional - Mesquite, Tx. The Clinic Insurance Verifier is responsible for determining patient liability based on benefits and advising patients of their liability prior to scheduled elective procedures. This includes notifying patients of their financial responsibility and making collection arrangements before services are rendered for all elective care. The role also involves 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. Additionally, the verifier must maintain effective communication skills, be proficient in mathematical skills, and possess knowledge of standard insurance companies and verification requirements, as well as authorization processes for all payers.

Requirements

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

Determining patient liability based on benefits and advising patient of their liability prior to scheduled elective procedures.
Notifying patient(s) of financial responsibility; collection arrangement are made prior to services rendered for all elective care.
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.
Verifying and securing accurate patient demographic and insurance information, updating patient account information as needed.
Assisting patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services.
Screening and referring 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.
Maintaining effective communication skills, including verbal, written and telephone.
Proficient in mathematical skills.