Insurance Verification Specialist

18 hours ago


Arlington Heights, Illinois, United States Northshore Full time
Job Title: Insurance Verification Representative II

At Northshore, we are seeking a highly skilled Insurance Verification Representative II to join our team. As a key member of our healthcare operations team, you will play a critical role in ensuring seamless patient access and efficient claims processing.

Key Responsibilities:
  • Review and analyze demographic, insurance, and clinical data to expedite payment on patient accounts.
  • Resolve issues with patients, insurance carriers, and healthcare providers to ensure accurate and timely claims processing.
  • Correct information in patient management and accounting systems to maintain data integrity.
  • Communicate hospital policies and procedures to patients and their representatives.
  • Ensure compliance with HIPAA, payer, and regulatory requirements for registration and billing.
  • Perform pre-certification notifications and gather required documentation for insurance carriers.
  • Enter patient procedure insurance and benefits eligibility information into patient management and accounting systems.
  • Act as a liaison between patients, physicians, and insurance companies to pre-certify procedures and cases.
Requirements:
  • High school diploma required; associate's degree or active pursuit of a degree preferred.
  • Minimum 2 years of customer service experience using computers.
  • Minimum 2 years of previous healthcare or related experience, including familiarity with payer requirements, regulatory compliance, and medical terminology.
Benefits:
  • Career pathways for professional growth and development.
  • Medical, dental, pet, and vision options.
  • Tuition reimbursement.
  • Free parking.
  • Wellness program savings plan.
  • Health savings account options.
  • Retirement options with company match.
  • Paid time off and holiday pay.
  • Community involvement opportunities.


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