*Clinic - Insurance Verifier

St. Mary’s Hospital - Kankakee; Kankakee (IL); On-site; USD 23,000 - 33,000; Full time

Benefits offered by this job

401K retirement plan

Tuition reimbursement

Medical coverage

Dental & vision coverage

Job summary

St. Mary’s Hospital - Kankakee is seeking an Insurance Verifier to determine patient liability based on benefits and to advise patients of their responsibility before elective procedures.

The role supports pre-authorizations and clears financial responsibility before services, ensuring accurate patient demographics and insurance details are on file. You'll collaborate with care teams to arrange payment plans, screen for government assistance or charity programs, and maintain clear communication

Qualifications

• 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.

Responsibilities

• Determine patient liability based on benefits and advise patients prior to elective procedures.
• Verify insurance eligibility and benefits for Admissions and services.
• Update demographic and insurance information on patient accounts as needed.
• Assist patients in arranging payment options by discharge for emergent/urgent services.
• Screen for government assistance or charity programs per policy.
• Maintain effective communication with patients by phone, email, and in person.

Skills

Insurance verification knowledge

Authorization processes

Multi-tasking

Analytical skills

Customer service experience

Education

High School Graduate or GED

Job description

Responsibilities

The Insurance Verifier 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 is 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. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Responsibilities

The Insurance Verifier 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 is 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. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

• 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.

Pay Transparency

St. Mary's Hospital - Kankakee 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 $16.75 to $24.26. 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.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

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