Insurance Verifier/Financial Counselor

Saint Francis Hospital; Evanston (IL); On-site; USD 42,000 - 52,000; Full time

Job summary

Saint Francis Hospital in Evanston, IL seeks an Insurance Verification Specialist to ensure eligibility and accurate patient accounts. The role involves contacting health plan carriers, verifying up-to-date information, and assisting patients in understanding coverage.

You will coordinate payments, discuss arrangements, prepare estimates, and document communications in the EMR. Strong organization and attention to detail are essential; two years in hospital admissions or billing is preferred.

Qualifications

• Minimum two years’ hospital admissions or billing experience.
• Knowledge of medical terminology and insurance policies.
• Excellent organization and time management.
• Ability to multitask in a demanding environment.
• Proficient computer skills.
• High School Diploma or GED required.

Responsibilities

• Verify insurance eligibility by contacting health plan carriers.
• Explain insurance coverage and financial responsibilities to patients.
• Coordinate payments and payment arrangements for services.
• Prepare reports on insurance verification activities.
• Document communications in the EMR and follow up as needed.
• Stay current with payer changes in healthcare.

Skills

Attention to detail

Communication skills

Multitasking

Computer skills

Medical terminology

Education

High School Diploma or GED

Tools

EMR systems

Billing software

Job description

Schedule: Full Time Days 7a-3:30p, with weekend coverage as needed

Facility: Prime Healthcare St Francis Hospital

Location: Evanston, IL 60201

Overview

Department: Admitting

Schedule: Full Time Days 7a-3:30p, with weekend coverage as needed

Facility: Prime Healthcare St Francis Hospital

Location: Evanston, IL 60201

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

• 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)