Insurance Verifier Financial Counselor

Prime Healthcare • Lewiston, ME

3d • Onsite

About The Position

Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.

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.

What This Job Offers

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