Insurance Verifier

Prime HealthcareLa Palma, CA
Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com.

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 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.

Benefits

  • paid time off
  • a 401K retirement plan
  • medical, dental, and vision coverage
  • tuition reimbursement
  • many more voluntary benefit options
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