Insurance Verifier

Prime Healthcare•Anaheim, CA

6d•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, 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 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.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.
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.
Proficient in mathematical skills.