The Insurance Verifier 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 works closely with Case Management in securing Medicaid/Medi-cal treatment authorizations as needed. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.
SAINT MARY'S EMPLOYEES MUST BE EMPLOYED IN THEIR CURRENT JOB A MINIMUM OF SIX MONTHS AND HAVE NO DISCIPLINE WITHIN THE PAST SIX MONTHS TO BE ELIGIBLE FOR CONSIDERATION.
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: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Mission Regional Medical Center