Insurance Verifier in Chicago, Illinois at Saint Anthony Hospital

Position Title: Insurance Verifier – Central Scheduling

Full Time

Day Shift

Compensation: $21.29hr - $26.23hr

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and comparisons to colleagues in similar roles.

Saint Anthony Hospital is a diverse and community-centric organization where your career can thrive while addressing the health and wellness challenges that families in our neighborhood face. Our employees deliver on our mission and achieve success by working together to provide excellent customer service and patient care.

As part of Saint Anthony Hospital’s commitment to providing the highest-quality health care, we will be building a new state-of-the-art hospital to serve as an anchor to the Focal Point Community Campus. Learn more at focalpointchicago.org.

Position Purpose:

• Contact insurance companies to secure accounts prior to services being rendered.
• Obtain authorization and/or referrals as required.
• Initiates and processes pre-admission and pre-registration functions for patients entering the organization for surgery and ancillary services.

Essential Functions:

• Reviews pre-admission and pre-registration accounts daily and proactively contacts insurance payers and patients at least 72 hours before service. Ensures all required payer information is obtained, deposits are collected, and payment arrangements are established in accordance with organizational policies through timely, effective follow-up.
• Verifies insurance eligibility and benefits, uses payer and third-party systems to obtain authorizations, and coordinates with primary care providers as needed to secure required pre-certifications and authorizations. Reviews patient accounts to ensure all financial, insurance, and demographic information is complete and accurate, and documents updates in the hospital information system in accordance with established procedures.
• Interprets physician orders and collaborates with providers and clinical staff to ensure accurate documentation of diagnoses, procedures, and ancillary service requirements for patient scheduling and care coordination.
• Communicates financial obligations to patients, guarantors, and family members, including estimated patient responsibility for elective services. Reviews deductibles and other out-of-pocket costs before the date of service and accurately documents anticipated payments and payment arrangements.
• Discusses available payment options with patients, secures payment or payment arrangements, and refers eligible accounts to a Financial Counselor for financial assistance screening, including Medicaid (MANG) and Charity Care application processes.
• Maintains departmental logs and operational reports, including daily and weekly tracking of incoming, completed, and pending work. Documents all activities accurately in system notes and in assigned work queues.
• Completes patient registration in the hospital system by conducting telephone interviews to collect demographic, clinical, and financial information. Reviews data for accuracy, identifies potential financial risk, and collaborates with medical staff, financial counselors, and administrators as needed to resolve issues.

General Job requirements:

• Demonstrated knowledge of billing, collections, and cash application processes, including issue identification and resolution.
• Working knowledge of healthcare reimbursement and revenue cycle operations.
• Experience using healthcare systems that support patient access and patient financial services functions.
• Minimum of one year of customer service experience; healthcare experience preferred.
• Excellent written and verbal communication skills with the ability to interact effectively across all levels of the organization.
• Demonstrated proficiency in electronic data entry with high accuracy.

Saint Anthony Hospital Highlights:

• Saint Anthony Hospital is an independent, nonprofit, faith-based, acute care, community hospital dedicated to improving the health and wellness of families on the West Side and Southwest Side of Chicago.
• Saint Anthony Hospital has been certified as a Primary Stroke Center by The Joint Commission.
• Saint Anthony Hospital offers competitive wages and a comprehensive benefits program for employees and their families.
• Saint Anthony Hospital employs and teaches some of the city’s brightest, most innovative resident physicians and medical students.

Featured benefits

• Comprehensive Health Insurance Plans/Dental/Vision
• Flexible Spending Account/Health Savings Account
• Employer-matching Retirement Plans
• Paid Time Off & Holidays

• Bereavement Leave/Short Term Disability/Basic & Supplemental Long-Term Disability
• Basic & Supplemental Life Insurance/Accidental Death & Dismemberment Insurance
• Business Traveler’s Accident Insurance
• Critical Illness/Accident Insurance
• Pet Insurance/Legal Insurance
• Tuition reimbursement/Adoption Assistance
• Qualifying Employment for the Public Service Loan Forgiveness Program

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