Insurance Verifier

Prime Healthcare Services Inc

La Palma, CA

JOB DETAILS
SALARY
$21–$28.22 Per Hour
SKILLS
Acute Care, Analysis Skills, Case Management, Communication Skills, Customer Support/Service, Demographics, Establish Priorities, Financial Management, Financial Planning, Government, Healthcare, High School Diploma, Hospital, Hospital Systems, Insurance, Mathematics, Medicaid, Medical Records, Medical Treatment, Multitasking, Patient Care, Patient Care Authorizations, Presentation/Verbal Skills, Problem Solving Skills, Requirements Validation/Verification, Time Management, Tuition Reimbursement
LOCATION
La Palma, CA
POSTED
30+ days ago

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com.

Responsibilities

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, EXPERIENCE, TRAINING

  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 timelines4. Analytical and problem-solving skills5. Customer Services experience required6. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Pay Transparency

La Palma Intercommunity Hospital 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 $21.00 to $28.22. 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.

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

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

About the Company

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Prime Healthcare Services Inc