Insurance Verifier/Financial Counselor

Department: Admitting
Location: Evanston, IL 60201
Schedule: Full Time Days 7a-3:30p, with weekend coverage as needed

Responsibilities

• Contact health plan carriers to obtain eligibility information, ensuring the most accurate and up-to-date information is verified and entered into the patient’s account.
• Assist patients in understanding their insurance coverage and financial responsibilities.
• Coordinate payment for all scheduled/elective services according to payer specifications prior to services rendered.
• Collect payments, discuss payment arrangements as appropriate, create estimates, and advise patients in person and over the phone on their insurance benefits coverages.
• Assess and validate physician orders for appropriateness in some cases.
• Provide excellent 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 all relevant information required to process financial assistance requests.
• Document all communication and follow-up in the EMR.
• Pursue and participate in education opportunities to remain current with payer changes in the healthcare industry.

Requirements

• Minimum two years’ experience in 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 strong oral and written communication skills.
• Ability to learn quickly, work independently, and collaborate within a team environment.
• Ability to maintain good working relationships.
• Demonstrates 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.

Preferred Qualifications

• Prior hospital insurance experience at this location.

Benefits

• Comprehensive, competitive benefits package with customizable options.
• Paid time off.
• 401K retirement plan.
• Medical, dental, and vision coverage.
• Tuition reimbursement.
• Additional voluntary benefit options.

Pay

A reasonable compensation estimate for this role is $16.35 to $23.68 per hour. The exact starting compensation will be determined based on factors such as skillset, years of applicable experience, education, credentials, and licensure.