Clinic - Insurance Verifier - SFIL - Prim Care Peterson

Prime Healthcare•Chicago, IL

About The Position

The Insurance Verifier is responsible for determining patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient(s) of financial responsibility; collection arrangement is made prior to services rendered for all elective care. Verifies insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party. Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed. Assists patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services. Screens and refers patients for possible linkage to state, county, or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Requirements

Knowledge of standard insurance companies and verification requirements.
Well versed in authorization processes for all payers.
Ability to multi-task, prioritize needs to meet required timelines.
Analytical and problem-solving skills.
Customer Services experience required.
High School Graduate or GED equivalent, required.

Responsibilities

determining patient liability based on benefits
advising patient of their liability prior to scheduled elective procedures
notifying patient(s) of financial responsibility
making collection arrangement prior to services rendered for all elective care
verifying insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services
ensuring communication of patient responsibility to the patient or responsible party
verifying and securing accurate patient demographic and insurance information
updating patient account information as needed
assisting patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services
screening and referring patients for possible linkage to state, county, or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies
maintaining effective communication skills, including verbal, written and telephone
Proficient in mathematical skills