Prime Healthcare

Insurance Verifier/Financial Counselor - Admitting

Facility Pampa Regional Medical Center
Location
US-TX-Pampa
ID
2024-171666
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! Pampa Regional 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.

 

Located in the center of the Texas Panhandle, Pampa Regional Medical Center is a 35-bed critical-care hospital serving our communities with a full range of surgical and medical services. Pampa Regional Medical Center is certified by the Accreditation Commission for Health Care (ACHC) and has been recognized by the Leapfrog Group and Healthgrades for patient safety and was named among the “100 Top Hospitals” by IBM Watson Health in 2018. Pampa Regional offers key services to the community including heart care, emergency services, urgent care, surgical services and more. For more information visit www.prmctx.com.

 

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: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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).

 

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