Insurance Verifier/Financial Counselor

Saint Francis Hospital•Evanston, IL

10d•$16 - $24•Onsite

About The Position

The Insurance Verifier/Financial Counselor works in the Admitting Department at Prime Healthcare St Francis Hospital. The role verifies patient eligibility and insurance information with health plan carriers, ensuring accurate, up-to-date information is entered into patient accounts. It also helps patients understand their insurance coverage and financial responsibilities and coordinates required payments for scheduled or elective services according to payer specifications before services are rendered. The position collects payments, discusses payment arrangements, prepares cost estimates, and advises patients in person and by phone about insurance benefits and coverage. In some cases, the employee assesses and validates physician orders for appropriateness. The role provides customer service for insurance inquiries, manages insurance-related questions from internal and external stakeholders, reports on verification activity, researches payer requirements and resolves insurance errors, and gathers information for financial assistance requests. Communications and follow-up are documented in the EMR. The employee is expected to pursue education to stay current on payer changes in healthcare. This is a full-time day-shift position, scheduled 7:00 a.m. to 3:30 p.m., with weekend coverage as needed. The work location is Saint Francis Hospital in Evanston, Illinois.

Requirements

Minimum two years of experience in a hospital admissions or billing setting is preferred.
Well versed in authorization processes for all payers.
Knowledge of medical terminology and insurance policies.
Excellent organization and time management skills.
Excellent oral and written communication skills.
Ability to learn quickly, work independently, and collaborate within a team environment.
Ability to maintain good working relationships.
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.
Prior hospital insurance experience.
Patient Access experience.

Nice To Haves

Minimum two years of experience in a hospital admissions or billing setting is preferred.

Responsibilities

Contact health plan carriers to verify eligibility and obtain accurate, current insurance information for patient accounts.
Help patients understand their insurance coverage and financial responsibilities.
Coordinate payment for scheduled or elective services according to payer specifications before services are rendered.
Collect payments and discuss payment arrangements as appropriate.
Create estimates and advise patients in person and by phone about insurance benefits and coverage.
Assess and validate physician orders for appropriateness in some cases.
Provide 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.
Resolve insurance errors and research insurance requirements.
Gather information required to process financial assistance requests.
Document communications and follow-up in the EMR.
Pursue education opportunities to remain current with payer changes in healthcare.