Insurance Eligibility & Payments Specialist

Prime Healthcare; Chicago (IL); On-site; USD 23,000 - 33,000; Full time

Benefits offered by this job

Paid time off

401K retirement plan

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Resurrection Medical Center, part of Prime Healthcare, is seeking an Insurance Verification Specialist to ensure accurate eligibility data and patient financial responsibility information is captured in the medical record.

Responsibilities include obtaining carrier authorizations, collecting payments, creating estimates, and advising patients on coverage and benefits. The role requires strong communication, organization, and multitasking in a fast-paced hospital admitting environment.

Qualifications

• Minimum two years’ experience in hospital admissions or billing setting preferred.
• Well versed in authorization processes for all payers.
• Knowledge of medical terminology and insurance policies.
• Excellent organization and time management skills along with excellent oral and written communication skills.
• Ability to learn quickly, work independently and collaboratively within a team environment.
• Ability to maintain good working relationships.
• Demonstrates attention to detail and ability to multitask.
• Ability to work in a demanding environment.
• Problem solving skills.
• Proficient computer skills.
• High School Graduate or GED Equivalent Required.

Responsibilities

• Verify insurance eligibility by contacting health plan carriers and entering accurate data into the patient account.
• Explain coverage and financial responsibilities to patients both in person and over the phone.
• Coordinate payment for scheduled/elective services per payer specifications prior to services.
• Collect payments and discuss payment arrangements as appropriate.
• Create estimates and advise patients on insurance benefits coverage.
• Document all communication and follow-up in the EMR.
• Pursue education opportunities to stay current with payer changes in healthcare.

Skills

Authorization processes

Medical terminology

Organization

Communication skills

Multitasking

Problem solving

Attention to detail

Teamwork

Quick learner

Relationship management

Education

High School Diploma or GED

Tools

Computer skills

Job description

Resurrection Medical Center, part of Prime Healthcare, is seeking an Insurance Verification Specialist to ensure accurate eligibility data and patient financial responsibility information is captured in the medical record.

Responsibilities include obtaining carrier authorizations, collecting payments, creating estimates, and advising patients on coverage and benefits. The role requires strong communication, organization, and multitasking in a fast-paced hospital admitting environment.