Insurance Verifier/Financial Counselor-Communications

Sherman Oaks Hospital•Los Angeles, CA

4d•$23 - $26

About The Position

The Insurance Verifier/Financial Counselor determines patient liability based on insurance benefits and informs patients of financial responsibility before scheduled elective procedures. The role arranges collection of patient responsibility before elective services are rendered. For emergent and urgent admissions, procedures, and other services, the position verifies insurance eligibility and benefits and communicates patient responsibility to the patient or responsible party. The role verifies and secures accurate patient demographic and insurance information and updates patient accounts as needed. It assists patients with arrangements for their financial responsibility by discharge for emergent or urgent services, and screens and refers patients for possible state, county, or other government assistance programs, as well as charity care or discounts under facility policies. The Insurance Verifier/Financial Counselor works closely with Case Management to obtain Medicaid/Medical treatment authorizations as needed. Effective verbal, written, and telephone communication and proficiency in mathematics are required.

Requirements

Knowledge of standard insurance companies and verification requirements.
Knowledge of 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 for new hires effective 4/1/14.
Effective verbal, written, and telephone communication skills.
Proficiency in mathematical skills.

Responsibilities

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