Insurance Verifier - PRMC

Presbyterian Healthcare Services • Elk City, OK

1d • $16 - $24 • Onsite

About The Position

The Insurance Verifier is responsible for financial clearance of scheduled and unscheduled patient accounts. This includes preregistration, insurance eligibility and benefits verification, payer plan code assignment, referral coordination, and communicating patient financial responsibility. The role independently resolves insurance verification and financial clearance issues before and after appointments by contacting patients and insurance or third-party payers, and initiating insurance appeals when needed.

The Insurance Verifier works with practice managers, clinicians, staff, patients, and payers to ensure visits are appropriately registered and meet insurance billing requirements. The position identifies accounts at financial risk, notifies the appropriate practice manager, and recommends options that support the hospital and its reimbursement. It is a full-time, nonexempt, day-shift position based at Plains Regional Medical Center in Clovis, New Mexico.

Requirements

• High school diploma or GED required.
• One to two years of customer service experience required.
• Strong interpersonal skills and ability to work effectively with patients, the public, and staff and leadership at all levels.
• Excellent organizational, multitasking, and prioritization skills.
• Proficiency in typing and 10-key data entry.
• Minimum of one year of relevant healthcare experience is preferred, such as patient registration, business office, medical office, or insurance verification.
• Bilingual skills preferred.

Nice To Haves

• Relevant healthcare experience in patient registration, a business office, a medical office, or insurance verification.
• Bilingual skills.

Responsibilities

• Coordinate all aspects of account financial clearance, including preregistration, insurance eligibility and benefits verification, referral coordination, and communication about patient financial responsibility.
• Accurately collect, verify, and update patient demographic, registration, and insurance information in hospital systems.
• Respond to patient and payer inquiries about registration, billing, insurance requirements, and available services, routing concerns as appropriate.
• Collaborate with patients, providers, practice managers, and third-party payers to resolve registration, authorization, and financial issues, including rescheduling appointments when necessary.
• Maintain professionalism and effective communication while supporting patients from diverse cultural and socioeconomic backgrounds.
• Prioritize assigned accounts, complete follow-up activities, and document work accurately to support timely financial clearance and billing compliance.
• Escalate issues or potential risks to leadership in a timely manner and take ownership of assigned accounts through resolution.
• Assist with onboarding and training new team members as needed.
• Meet quality, productivity, and documentation standards to support departmental performance and organizational goals.
• Contact patients and insurers or third-party payers to resolve eligibility and benefits issues and initiate insurance appeals when necessary.
• Notify the appropriate practice manager when patient accounts are at financial risk and recommend options to support reimbursement.

Benefits

• Medical, dental, and vision coverage.
• Short-term and long-term disability insurance.
• Group term life insurance.
• Other optional voluntary benefits.
• Employee Wellness rewards program, with opportunities to earn gift cards and other rewards through wellness activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED