Icon hamburger
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Create an account to get recommended jobs that match your resume and apply to multiple jobs in seconds!
On the next page, you'll build a resume in 3 steps thanks to our AI technology
8-15 characters
Contains Number
Contains Lowercase
Contains Uppercase
Contains Special Character

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Insurance Verifier/Financial Counselor

Mission Regional Medical Center Mission, TX Full-Time
Apply on company site


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.


Understands and interprets contracts, explains patient liability based on benefits. Notifies patient of financial responsibility as required by hospital protocol

Maintains patient accounts in an orderly manner.  Identifies any missing information or other discrepancies in the patient account documentation received.  Gives accurate details and makes corrections as needed.  Provides corrected face-sheets for patients chart with nursing unit.

Follows up with patients/families employers, physicians, and insurance companies to resolve all eligibility problems, including Medicare, government programs, and refers to appropriate department for follow up

Refers appropriate accounts to Medi-Cal/Medicaid eligibility vendor, internal eligibility counselor or appropriate agency for review and possible financial linkage

Acts as liaison between the patients/families, Case Management Department, Insurance companies and other department staff members regarding any problems with financial responsibility

Arranges collection of unmet share of cost, deductibles, co-payments and surgery flat rate payments from patients/families prior to elective services or prior to discharge for urgent/emergent services.

Verifies insurance benefits on accounts within one business day following urgent/emergent admission; investigates and resolves any benefit/eligibility discrepancies within one business day of reviewing files.

Regularly reviews admission and outpatient lists for current business day and begin eligibility & verification processes when time permits, preparing for the next business day. Reviewing for any potential issues that may require urgent attention.

Assists others as required and permitted. Communicates work left incomplete, or unresolved problems.

Uses the appropriate vocabulary when conversing with patients, physicians, insurance companies or other department personnel.

Reviews and researches daily admissions for completeness, accuracy and payment resource.

Notifies appropriate departments and physician of inability of patient to pay account or link to assistance programs within 48 hours of admission.

Assists in monitoring patient accounts involving Medi-Cal for payment source in conjunction with Medi-Cal guidelines.

Notifies Social Service/Discharge planning and Utilization Review of Medi-Cal status immediately as changes occur.

Performs a DDE print out on all inpatients and outpatient surgery for all Medicare Accounts.

Performs other duties as assigned or required.




  • 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: [ Link removed ] - Click here to apply to Insurance Verifier/Financial Counselor

    Recommended skills

    Complex Problem Solving
    Authorization (Medical)
    Apply to this job.
    Think you're the perfect candidate?
    Apply on company site

    Help us improve CareerBuilder by providing feedback about this job: Report this job

    Report this Job

    Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

    Job ID: 2020-37907


    For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

    By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.