Insurance Verification Specialist
18 hours ago
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.
- 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.
- 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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Service Verification Specialist
5 days ago
Fairview Heights, Illinois, United States Hoyleton Youth and Family Services Full timeJob Title: Service Verification SpecialistAt Hoyleton Youth and Family Services, we are seeking a highly skilled Service Verification Specialist to join our team. As a key member of our Clinical department, you will be responsible for ensuring accurate and timely data management and reporting.Key Responsibilities:Retrieve and analyze data from electronic...
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Service Verification Specialist
4 days ago
Fairview Heights, Illinois, United States Hoyleton Youth and Family Services Full timeJob Title: Service Verification SpecialistAt Hoyleton Youth and Family Services, we are seeking a highly skilled Service Verification Specialist to join our team. As a key member of our Clinical department, you will be responsible for ensuring accurate and timely data management and reporting.Key Responsibilities:Retrieve data from electronic health records...
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Service Verification Specialist
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