Insurance Verifier

Saint Mary of Nazareth Hospital; Chicago (IL); On-site; USD 23,000 - 33,000; Full time

Job summary

Saint Mary of Nazareth Hospital in Chicago is seeking an Insurance Verification Specialist to contact health plan carriers for eligibility, assist patients in understanding coverage and financial responsibilities, and coordinate payment for services according to payer specifications.

The role requires experience in hospital admissions or billing, knowledge of medical terminology and payer policies, strong organization and communication skills, and the ability to work both independently and as

Qualifications

• Two years in hospital admissions or billing preferred.
• Authorization processes for all payers required.
• Knowledge of medical terminology and insurance policies.
• Excellent oral and written communication; well organized and detail oriented.
• Ability to learn quickly, work independently and in a team.
• Maintain good working relationships; multitask in a demanding environment.
• Strong problem solving and computer skills; GED/HS diploma required.

Responsibilities

• Verify insurance eligibility with carriers and enter accurate info into patient accounts.
• Assist patients in understanding coverage and financial responsibilities.
• Coordinate payments for scheduled services per payer specifications before services.
• Collect payments, discuss payment options, and create estimates.
• Document all communications in the EMR and maintain notes for follow-up.
• Produce reports on verification activities for management review.
• Stay updated on payer changes and industry requirements.

Skills

Hospital admissions

Billing

Authorization processes

Medical terminology

Insurance policies

Organization skills

Time management

Communication skills

Team collaboration

Attention to detail

Multitasking

Problem solving

Proficient computer skills

Education

High School Diploma or GED

Job description

Overview

Department: Admitting

Schedule: Full-time - Days, 7am-3:30pm

Facility: Saint Mary of Nazareth Hospital

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

• 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)

Pay Transparency

Saint Mary of Nazareth Hospital 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 $17.25 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