Insurance Verifier/Financial Counselor

Prime Healthcare•Garden City, MI
•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org .

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

  • 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.
  • 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.
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