Job Information
Prime Healthcare Insurance Verifier/Financial Counselor in Gadsden, Alabama
Overview
Benefits Statement
We offer:
Competitive Compensation
Generous benefits plan: Medical, Dental, Vision, 401K
Collaborative work teams & cohorts
…and much more!
We would love to have you on our Team!
Located in Gadsden, Alabama, Riverview Regional Medical Center is a 281-bed acute-care hospital serving more than 350,000 residents in Etowah and the contiguous counties. A full range of services and programs are offered, including the only accredited Cath Lab in Northeast Alabama, Sleep Lab, Wound Care and Hyperbaric Center, and Women’s Diagnostic Imaging Center. Riverview Regional Medical Center is accredited by The Joint Commission (TJC) and is rated among the top 5% of hospitals in the nation for patient safety. Riverview is also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Originally named Holy Name of Jesus Hospital, Riverview Regional Medical Center was founded in 1917 by the Sisters of the Missionary Servants of the Most Blessed Trinity. Riverview was purchased by Prime Healthcare in 2016. Together they continue a mission of providing quality healthcare in the community it so proudly serves. To learn more about Riverview Regional Medical Center and the services it provides, visitwww.riverviewregional.com
We are an Equal Opportunity 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. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Responsibilities
Shift: Full-Time
Schedule: Days
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).
#LI-AZ1
Insurance, authorization, verification, medical terminology, insurance company, authorization specialist, insurance carriers, pre-certification process, medical necessity guidelines, customer service, insurance preparation, collaboration, communication, data entry, prior authorization
Connect With Us! (https://careers-primehealthcare.icims.com/jobs/164449/insurance-verifier-financial-counselor/job?mode=apply&apply=yes&in_iframe=1&hashed=-336024306)
FacilityRiverview Regional Medical Center
LocationUS-AL-Gadsden
ID2024-164449
CategoryAdmin
Position TypeFull Time
ShiftDays
Job TypeNon-Exempt