Insurance Verification Specialist - Patient Access & Billing

Resurrection Medical Center; Chicago (IL); On-site; USD 23,000 - 33,000; Full time

Job summary

Resurrection Medical Center in Chicago, IL is seeking an Insurance Verification Specialist to contact health plan carriers, verify patient eligibility, explain coverage, and coordinate payments before services.

You will document all communications in the EMR, support financial assistance processing, and stay current with payer changes through training. Two years hospital admissions or billing experience preferred; strong communication and multitasking essential.

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 collaborative 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 (effective 4/1/14 for all new hires)

Responsibilities

• Contact health plan carriers to obtain eligibility information and verify accuracy in patient accounts.
• Assist patients in understanding their insurance coverage and financial responsibilities.
• Coordinate payment for all scheduled/elective services prior to services rendered.
• Collect payments and discuss payment arrangements; create estimates.
• Advise patients in person and over the phone on their insurance benefits coverages.
• Assess and validate physician orders for appropriateness as needed.
• Provide excellent customer service to patients regarding insurance inquiries.
• Manage insurance related queries from internal and external stakeholders.
• Prepare reports on insurance verification activities and outcomes for management review.
• Pursue and participate in education opportunities to remain current with payer changes.

Job description

Resurrection Medical Center in Chicago, IL is seeking an Insurance Verification Specialist to contact health plan carriers, verify patient eligibility, explain coverage, and coordinate payments before services.

You will document all communications in the EMR, support financial assistance processing, and stay current with payer changes through training. Two years hospital admissions or billing experience preferred; strong communication and multitasking essential.