Insurance Verifier Financial Counselor

Central Maine Medical Center•Lewiston, ME

42d•$20 - $22

About The Position

The Insurance Verifier/Financial Counselor, part of the Patient Accounting department at Central Maine Medical Center, determines patient liability based on insurance benefits and informs patients of their financial responsibility before scheduled elective procedures. The role makes collection arrangements before elective services are provided and verifies insurance eligibility and benefits for emergent and urgent admissions, procedures, and other services. The position verifies and updates patient demographic and insurance information, communicates patient responsibility to the patient or responsible party, and assists with arrangements for emergent or urgent service costs by discharge. It also screens and refers patients for potential state, county, or other government assistance, as well as charity care or discounts under facility policies. The role works closely with Case Management to secure Medicaid or medical treatment authorizations as needed.

Requirements

Knowledge of standard insurance companies and verification requirements.
Well versed in 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.

Responsibilities

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