Demo

Insurance Verifier

Prime Healthcare
Mesquite, TX Full Time
POSTED ON 2/14/2025
AVAILABLE BEFORE 5/1/2025

Overview

You’re going to want to be a part of the Dallas Regional Medical Center Team!!! As a member of Prime Healthcare, we offer incredible opportunities to expand your horizons and be a part of a community dedicated to making a difference. We are a 202- bed acute hospital accredited by the joint Commission that offer a wide range of medical services including 24 / 7 emergency care, cardiology, wound care, surgical services, cardiac catheterization, and imaging. The hospital is the on Certified Stroke Center, Accredited Chest Pain Center and labor and Delivery unit in the area. In addition, Dallas Regional is the only Trauma Center for 13 miles and was the first accredited Geriatric Emergency Room in Dallas County. The hospital os a recipient of Healthgrades Patient Safety Excellence Awards, 15 Healthgrades Five-Star rating over the past three years.

We offer :

  • Competitive compensation
  • Generous benefit plan : medical, dental, vision and 401k
  • Substantial PTO
  • Continuing education opportunities
  • And much more!

Responsibilities

The Insurance Verifier 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 works closely with Case Management in securing Medicaid / Medi-cal treatment authorizations as needed. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

LI-MK3

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).
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