Clinic Insurance Verifier

We are seeking an Clinic Insurance Verifier, sometimes referred to as a Hospital Insurance Verifier and Financial Counselor in our Orthocare Clinic. The Insurance Verification Specialist or Insurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits, determines financial responsibility, and communicates this to patients before procedures. The Hospital Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance Verifiers collaborate with Case Management to secure necessary authorizations and maintain clear communication throughout the process.

Shift’s Available:  Days

Employment Type: Full-Time

Hours: 8-hour shifts

Location: Orthocare Clinic - 2114 Hale Dr, Harlingen, TX, 78550

Here are some of the benefits of working at Prime Healthcare:

• 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/

Essential Duties and Responsibilities (includes, but not limited to):

• Verify patients’ insurance coverage and benefits thoroughly prior to hospital admission or scheduled procedures to ensure accurate billing and eligibility
• Assess and determine patient financial responsibility based on insurance details and communicate this information clearly to both patients and hospital staff
• Coordinate the pre-authorization and insurance approval process to ensure all necessary approvals are secured before services are provided
• Maintain and update accurate patient insurance and demographic information within the hospital’s electronic health record system to support smooth admissions and billing
• Guide and assist patients in accessing available financial assistance programs, answering billing questions, and resolving insurance-related concerns to ease their hospital experience

Before we go any further, we do have some deal-breakers. You must have: 

Education and Work Experience

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.

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