Insurance Verifier/Financial Counselor - Admitting

Prime Healthcare•Victorville, CA

1d•Onsite

About The Position

Desert Valley Hospital is an accredited 148-bed acute care hospital located in Southern California, recognized for its high clinical performance and quality awards. As a member of the Prime Healthcare Foundation, Desert Valley Hospital offers a dynamic work environment with a commitment to serving an underserved community. The hospital provides competitive compensation and a comprehensive benefits package designed to meet individual needs.

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 patients of their liability prior to scheduled elective procedures.
Notifying patients of financial responsibility and making collection arrangements 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.
Verifying and securing accurate patient demographic and insurance information, updating patient account information as needed.
Assisting patients in making arrangements 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.
Working closely with Case Management in securing Medicaid/Medical treatment authorizations as needed.
Maintaining effective communication skills, including verbal, written, and telephone.
Proficient in mathematical skills.