Insurance Verifier/Financial Counselor - Admitting

Desert Valley Hospital•Victorville, CA

About The Position

Desert Valley Hospital is an accredited 148-bed acute care hospital located in Southern California. Desert Valley Hospital is in the top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Women’s Health Excellence Award and Distinguished Hospital Clinical Excellence Award. Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Desert Valley Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Desert Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!

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 (effective 4/1/14 for all new hires)

Responsibilities

The Insurance Verifier/ Financial Counselor is responsible for determining patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient(s) of financial responsibility; collection arrangement 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.
The Insurance Verifier/ Financial Counselor 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.