Insurance Verifier/Financial Counselor

Garden City Hospital • Garden City, MI

54d

About The Position

The Insurance Verifier/Financial Counselor determines patients’ financial liability based on insurance benefits and advises patients of their responsibility before scheduled elective procedures. The role arranges collection of patient responsibility before elective services are rendered. For emergency and urgent admissions, procedures, and other services, the position verifies insurance eligibility and benefits and communicates the patient’s financial responsibility to the patient or responsible party.

The Insurance Verifier/Financial Counselor verifies and secures accurate demographic and insurance information, updates patient accounts as needed, and helps patients arrange payment for emergency or urgent services by discharge. The role screens and refers patients for possible state, county, or other government assistance, as well as charity care or discounts under facility policies. It works closely with Case Management to secure Medicaid or medical treatment authorizations as needed. Effective verbal, written, and telephone communication and mathematical proficiency are required.

Requirements

• Knowledge of standard insurance companies and verification requirements.
• Knowledge of authorization processes for all payers.
• Ability to multitask and prioritize needs to meet required timelines.
• Analytical and problem-solving skills.
• Customer service experience required.
• High school graduate or GED equivalent required for new hires effective April 1, 2014.
• Effective verbal, written, and telephone communication skills.
• Proficient mathematical skills.

Responsibilities

• Determine patient liability based on insurance benefits and advise patients of their financial responsibility before scheduled elective procedures.
• Make collection arrangements before elective services are rendered.
• Verify insurance eligibility and benefits for emergency and urgent admissions, procedures, and other services, and communicate patient responsibility to the patient or responsible party.
• Verify and secure accurate patient demographic and insurance information and update patient accounts as needed.
• Assist patients in arranging payment for emergency or urgent services by the time of discharge.
• Screen and refer patients for possible state, county, or other government assistance programs, as well as charity care or discounts under facility policies.
• Work closely with Case Management to secure Medicaid or medical treatment authorizations as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED