Clinic Insurance Verifier

About This Role

This role involves determining patient financial liability based on insurance benefits, communicating this information prior to scheduled procedures, and making collection arrangements. The verifier ensures accurate demographic and insurance information, assists patients with financial arrangements, and screens for assistance programs.

Responsibilities

• Determine patient liability based on insurance benefits and advises patient prior to scheduled elective procedures
• Notify patient(s) of financial responsibility and make collection arrangements prior to services rendered for all elective care
• Verify insurance eligibility and benefits for emergent and urgent admissions, procedures or other services
• Communicate patient responsibility to the patient or responsible party
• Verify and secure accurate patient demographic and insurance information, updating patient account information as needed
• Assist patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services
• Screen and refer patients for possible linkage to state, county or other government assistance programs as well as Charity or Discounts
• Maintain effective communication skills, including verbal, written and telephone

Requirements

• Knowledge of standard insurance companies and verification requirements
• Well versed in authorization processes for all payers
• Ability to multi-task and prioritize needs to meet required timelines
• Analytical and problem-solving skills
• Customer Services experience
• High School Graduate or GED Equivalent

Qualifications

• High School Graduate or GED Equivalent Required