Insurance Verifier/Financial Counselor

About the role

Full-time, onsite position in Olympia Fields, IL (20201 South Crawford Ave). Shift: Days, 08:00 – 4:30 p.m.

Responsibilities

• Contact health plan carriers to obtain and update eligibility information; enter verified details into the patient’s account.
• Explain insurance coverage and financial responsibilities to patients.
• Coordinate and collect payments for scheduled/elective services per payer specifications before services are rendered.
• Create estimates, discuss payment arrangements, and advise patients—both in person and by phone—on their insurance benefits.
• Assess and validate physician orders for appropriateness when required.
• Provide excellent customer service for insurance-related inquiries from patients and internal/external stakeholders.
• Prepare reports on insurance verification activities and outcomes for management review.
• Resolve insurance errors and research payer requirements.
• Gather all relevant information needed to process financial assistance requests.
• Document all communications and follow-ups in the EMR.
• Pursue and participate in education to stay current with payer changes in the healthcare industry.

Qualifications

• 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, time management, oral and written communication skills.
• Ability to learn quickly, work independently and collaboratively within a team.
• Demonstrated attention to detail and ability to multitask.
• Ability to work in a demanding environment with strong problem-solving skills.
• Proficient computer skills.
• High school graduate or GED equivalent required (effective 4/1/14 for all new hires).

Pay

A reasonable compensation estimate for this role is $16.00 to $22.34 per hour, inclusive of estimated wages and benefits. The exact starting compensation will be determined at the time of hire based on factors including skillset, years of applicable experience, education, credentials, and licensure.

Benefits

• Paid time off
• 401(k) retirement plan
• Medical, dental, and vision coverage
• Tuition reimbursement
• Additional voluntary benefit options

Employees can tailor benefits to fit their individual needs. Learn more at https://www.primehealthcare.com/benefitsthatmattermost/.