Prime Healthcare

Insurance Verifier/Financial Counselor

Facility Garden City Hospital
Location
US-MI-Garden City
ID
2022-109654
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

Garden City Hospital is a 176-bed community hospital delivering high-quality comprehensive care at the Main Hospital location, in addition to a second ER at the Westland Community Health Center. In addition to being recognized among the "100 Top Hospitals" in the nation by Fortune/Merative, the hospital has been ranked nationally for clinical excellence with a 5-Star Overall Quality Award ™ from Healthgrades and recognized with Five Star Awards for pacemaker procedures, hip fracture treatment, gallbladder removal surgery and treatment of sepsis. Garden City Hospital has earned HFAP certification as a primary stroke center and Gold Plus standing from the American Heart Association, and is a Blue Shield of Michigan Blue Distinction Center for Hip & Knee Replacement and Maternity Care. Garden City Hospital is also recognized as a teaching hospital, offering medical education to students, residents and fellows from across the country. For more information, visit www.gch.org.

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
  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).

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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