What are the responsibilities and job description for the Insurance Verifier/Financial Counselor - AH position at Prime Healthcare?
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Alvarado Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Alvarado Hospital is a 306-bed full-service acute care hospital centrally located in San Diego adjacent to San Diego State University. Ranked in the top 5% nationally for patient safety, the hospital has also been ranked among America's 100 Best Hospitals for Orthopedic Surgery™, Spine Surgery™ and Critical Care™. Alvarado Hospital offers more than 25 programs and services, including the Advanced Spine & Joint Institute, cardiac services, San Diego Rehabilitation Institute outpatient rehabilitation, sexual medicine, geriatric-psychiatric care, vascular services, and an Emergency Department that is accredited for geriatric care. To learn more, visit www.AlvaradoHospital.com.
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 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)
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
Alvarado Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.25 to $25.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
