Insurance Verifier/Financial Counselor

Prime HealthcareNorth Las Vegas, NV
Onsite

About The Position

At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to join its award-winning team! North Vista Hospital is an accredited 177-bed state-of-the-art hospital located in North Las Vegas, Nevada. North Vista offers comprehensive healthcare services, including mental health care, emergency care, heart care, advanced surgical procedures, diagnostic imaging and help for a broad range of medical conditions. Equipped with advanced medical technology and staffed by a team of highly skilled healthcare professionals, North Vista is committed to providing high-quality care in a friendly hospital environment. The hospital has achieved numerous quality award distinctions including Patient Safety Excellence Award, Bariatric Surgery Excellence Award, Heart Failure recognition and more.

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 advising patient of their liability prior to scheduled elective procedures.
  • Notifying patient(s) of financial responsibility; collection arrangements are made prior to services rendered for all elective care.
  • Verifying insurance eligibility and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party.
  • Verifying and securing accurate patient demographic and insurance information, updating patient account information as needed.
  • Assisting patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services.
  • Screening and referring 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.
  • Working closely with Case Management in securing Medicaid/Medical treatment authorizations as needed.
  • Maintaining effective communication skills, including verbal, written and telephone.
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