Patient Financial Navigator: Insurance Verifications

Mercy Medical Center; Aurora (IL); Sur place; USD 23 000 - 33 000; Plein temps

Résumé du poste

Mercy Medical Center in Aurora, IL seeks an Insurance Verification Specialist to contact health plan carriers, verify eligibility, and ensure accurate information is entered into the patient account. You will assist patients in understanding their coverage and financial responsibilities, coordinate payments before services, collect balances, and prepare reports on verification activities for management.

The role requires strong organization, attention to detail, and excellent communication with

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

Responsabilités

• Contact health plan carriers to obtain eligibility information and ensure accurate data entry into the EMR.
• Assist patients in understanding their insurance coverage and financial responsibilities.
• Coordinate payment for all scheduled services according to payer specifications prior to services.
• Collect payments and discuss payment arrangements as appropriate; create estimates.
• Advise patients in person and over the phone on their insurance benefits coverage.
• Manage insurance related queries from internal and external stakeholders.
• Prepare reports on insurance verification activities and outcomes for management review.
• Problem-solve insurance errors and research insurance requirements.
• Gather all relevant information required to process financial assistance requests.
• Document all communication and follow up in the EMR.

Connaissances

Healthcare billing

Authorization processes

Medical terminology

Customer service

Multitasking

Formation

High School Diploma or GED

Description du poste

Mercy Medical Center in Aurora, IL seeks an Insurance Verification Specialist to contact health plan carriers, verify eligibility, and ensure accurate information is entered into the patient account. You will assist patients in understanding their coverage and financial responsibilities, coordinate payments before services, collect balances, and prepare reports on verification activities for management.

The role requires strong organization, attention to detail, and excellent communication with