Insurance Verification & Financial Clearance Specialist

Presbyterian Healthcare Services; Elk City (OK); Vor Ort; USD 23.000 - 33.000; Vollzeit

Benefits dieser Stelle

Wellness program

Comprehensive benefits

Zusammenfassung

Presbyterian Healthcare Services is seeking an Insurance Verifier at Plains Regional Medical Center in Clovis, NM. The role handles pre-registration, eligibility checks, benefits verification, and financial clearance to ensure accurate registration and proper reimbursement.

Responsibilities include collecting demographic and insurance data, answering inquiries from patients and payers, and collaborating with staff and providers to resolve issues.

Qualifikationen

• High school diploma or GED required.
• One to two years of customer service experience required.
• Proficiency in typing and 10-key data entry required.
• Bilingual skills preferred.

Aufgaben

• Coordinates all aspects of account financial clearance, including pre-registration, insurance eligibility and benefits verification, referral coordination, and patient financial responsibility communication.
• Accurately collects, verifies, and updates patient demographic, registration, and insurance information within hospital systems.
• Responds to patient and payer inquiries regarding registration, billing, insurance requirements, and available services, routing concerns as appropriate.
• Collaborates with patients, providers, practice managers, and third-party payers to resolve registration, authorization, and financial issues, including appointment rescheduling when necessary.
• Maintains professionalism and effective communication while supporting patients from diverse cultural and socioeconomic backgrounds.
• Prioritizes assigned accounts, completes follow-up activities, and documents work accurately to ensure timely financial clearance and billing compliance.
• Escalates issues or potential risks to leadership in a timely manner and takes ownership of assigned accounts from start to resolution.
• Assists with onboarding and training of new team members as needed.
• Adheres to quality, productivity, and documentation standards to support departmental performance and organizational goals.

Kenntnisse

Customer service

Interpersonal skills

Typing

10-key data entry

Bilingual (preferred)

Ausbildung

High school diploma or GED

Jobbeschreibung

Presbyterian Healthcare Services is seeking an Insurance Verifier at Plains Regional Medical Center in Clovis, NM. The role handles pre-registration, eligibility checks, benefits verification, and financial clearance to ensure accurate registration and proper reimbursement.

Responsibilities include collecting demographic and insurance data, answering inquiries from patients and payers, and collaborating with staff and providers to resolve issues.