Insurance Verifier

Resurrection Medical Center•Chicago, IL

7d•$17 - $24

About The Position

The Insurance Verifier works in the Admitting department and contacts health plan carriers to obtain eligibility information, ensuring accurate, up-to-date information is verified and entered into patient accounts. The role helps patients understand their insurance coverage and financial responsibilities and coordinates payment for scheduled or elective services according to payer specifications before services are rendered. The position collects payments, discusses payment arrangements, creates estimates, and advises patients in person and by phone about insurance benefits and coverage. It may also assess and validate physician orders for appropriateness. The Insurance Verifier provides customer service for patient insurance inquiries, manages insurance-related questions from internal and external stakeholders, prepares activity and outcome reports for management, resolves insurance errors, and researches insurance requirements. The role gathers information for financial assistance requests, records communications and follow-up in the EMR, and pursues education to stay current with payer changes in the healthcare industry.

Requirements

Minimum two years of experience in a 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 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 obtain eligibility information and verify accurate, up-to-date details in patient accounts.
Assist patients in understanding insurance coverage and financial responsibilities.
Coordinate payment for scheduled or elective services according to payer specifications before services are rendered.
Collect payments, discuss payment arrangements, create estimates, and advise patients about insurance benefits and coverage in person and by phone.
In some cases, assess and validate physician orders for appropriateness.
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.
Problem-solve insurance errors and research insurance requirements.
Gather relevant information required to process financial assistance requests.
Document communications and follow-up in the EMR.
Pursue and participate in education opportunities to remain current with payer changes in the healthcare industry.