Clinic Insurance Verifier

Overview

Position: Clinic Insurance Verifier

Shift’s Available: Days

Employment Type: Full Time

Hours: 8-hour shifts

Location: Harlingen, Texas

Responsibilities

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 is 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. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Qualifications

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.

Pay Transparency

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

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

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