Insurance Verifier/Financial Counselor - Admitting

Monroe Hospital • Bloomington, IN

1d • Onsite

About The Position

At Monroe Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Monroe Hospital is actively seeking new members to join its award-winning team!
Monroe Hospital is a 32-bed community hospital located in beautiful Bloomington, Indiana. Monroe Hospital is committed to providing superior healthcare, ever mindful of each patient's individuality and unique needs. Monroe Hospital has been recognized by Healthgrades as a Patient Safety Excellence Award recipient, a distinction that places Monroe Hospital among the top 10% of all short-term acute care hospitals. For more information, please visit www.monroehospital.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.

Requirements

• 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)

Responsibilities

• 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
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees