Insurance Verifier

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

Overview

Department: Admitting

Schedule: Full-time - Days

Facility: Resurrection Medical Center

Location: Chicago, IL

Responsibilities

The primary function of the insurance verification specialist is to contact health plan carriers to obtain eligibility information ensuring that the most accurate up to date information is verified and entered into patient’s account. Assist patients in understanding their insurance coverage and financial responsibilities. Coordinates payment for all scheduled/elective services required according to payer specifications prior to services rendered. Collects payments, discusses payment arrangements as appropriate, creates estimates, advises patents in person and over the phone on their insurance benefits coverages and in some cases assesses and validates physician orders for appropriateness. Provide excellent customer service to patients regarding insurance inquiries. Manage any insurance related queries from internal and external stakeholders. Prepares reports on insurance verification activities and outcomes for management review. Problem solves insurance errors and research insurances requirements. Gathers all relevant information required to process financial assistance requests. Documents all communication and follow up in the EMR. Pursues and participates in education opportunities to remain current with payer changes in the healthcare industry.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

• 1. Minimum two years’ experience in hospital admissions or billing setting preferred.
• 2. Well versed in authorization processes for all payers
• 3. Knowledge of medical terminology and insurance policies
• 4. Excellent organization and time management skills along with excellent oral and written communication skills.
• 5. Ability to learn quickly, work independently and collaborative within a team environment
• 6. Ability to maintain good working relationships
• 7. Demonstrates attention to detail and ability to Multitask.
• 8. Ability to work in a demanding environment
• 9. Problem solving skills
• 10. Proficient computer skills
• 11. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Pay Transparency

Resurrection Medical Center 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, 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 $17.15 to $24.42. 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