Insurance Verification Specialist - Healient

We are seeking an Insurance Verification Specialist, sometimes referred to as a Hospital Insurance Verifier and Financial Counselor in our Admitting Department. The Insurance Verification Specialist or Insurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits, determines financial responsibility, and communicates this to patients before procedures. The Hospital Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance Verifiers collaborate with Case Management to secure necessary authorizations and maintain clear communication throughout the process.

Shift's Available: Days

Employment Type: Full-Time

Hours: 8-hour - 8:00am to 4:30pm

Location: St. Joseph Medical Center - Kansas City, MO

Here are some of the benefits of working at Prime Healthcare:

Health, dental, and vision insurance options

• Paid vacation, sick time and holidays

• Bereavement leave, FMLA and other leave options

• Employer 401K options

• Tuition reimbursement options

• Life, disability, and other insurance options

• Many other amazing benefits

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.

EDUCATION, EXPERIENCE, TRAINING

1. Knowledge of standard insurance companies and verification requirements.
2. Well versed in authorization processes for all payers
3. Ability to multi-task, prioritize needs to meet required timelines
4. Analytical and problem-solving skills
5. Customer Services experience required
6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)