What are the responsibilities and job description for the Ins Verifier/Financial Counselor - Admitting position at Prime Healthcare?
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! St. Mary’s 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.
St. Mary’s Medical Center, a 2020 Watson Health Top 100 Hospital, is a faith-based, 146-bed acute care hospital providing a wide range of services, including 24-hour Emergency Department, Joint and Spine Institute, Surgical Services and outpatient services. St. Mary's Medical Center has provided high-quality compassionate care to the residents of Blue Springs and Eastern Jackson County for more than 30 years. St. Mary's, one of Kansas City’s best kept secrets, offers patients the best of both worlds a warm, caring environment, close to home, providing the wide range of services and expertise typically found in much larger facilities.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights :
Responsibilities
The Insurance Verifier / Financial Counselor is responsible for determining patient liability based on benefits and advises 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. The Insurance Verifier / Financial Counselor 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.
Qualifications
Education and Work Experience
- 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)
