Insurance Verifier/Financial Counselor
About The Position
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Dallas Medical Center is a 155-bed acute care hospital accredited by The Joint Commission that offers a wide range of medical services, including 24/7 emergency care, cardiology, wound care, surgical services, cardiac catheterization lab, and outpatient therapy. The hospital is the only trauma center in the vicinity and is also a Certified Chest Pain Center. Dallas Medical Center is a recipient of multiple Healthgrades Patient Safety Excellence Awards and eight Healthgrades Five-Star ratings over the past three years. For more information, visit www.dallasmedcenter.com. 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.
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
- 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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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
