Insurance Verifier/Financial Counselor

Mercy Medical Center•Aurora, IL

14d•$16 - $24•Onsite

About The Position

The Insurance Verifier/Financial Counselor works in the Admitting Department at Prime Healthcare Mercy Medical Center. The role verifies patients’ insurance eligibility and coverage with health plan carriers, ensures current and accurate information is entered into patient accounts, and helps patients understand their coverage and financial responsibilities. It coordinates payment for scheduled and elective services according to payer requirements before services are rendered. The position also collects payments, discusses payment arrangements, prepares estimates, and advises patients in person and over the phone about insurance benefits and coverage. In some cases, it assesses and validates physician orders for appropriateness. The role provides customer service for patient insurance inquiries, manages insurance-related questions from internal and external stakeholders, prepares reports for management, resolves insurance errors, and researches payer requirements. It gathers information for financial assistance requests and documents communications and follow-up in the EMR. The employee is expected to pursue educational opportunities to stay current on payer changes in the healthcare industry.

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.

Nice To Haves

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

Responsibilities

Contact health plan carriers to verify eligibility and obtain accurate, up-to-date insurance information for patient accounts.
Assist patients in understanding insurance coverage and financial responsibilities.
Coordinate payment for scheduled and 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 over the 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 and participate in educational opportunities to remain current with payer changes in the healthcare industry.