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Insurance Verification Specialist

1 month ago

Arlington Heights, Illinois, United States NorthShore University HealthSystem Full time

Job Summary:

We are seeking a skilled Insurance Verification Representative II to join our team. As a key member of our registration team, you will be responsible for reviewing and analyzing patient demographic, insurance, and clinical data to ensure accurate and timely payment processing.

Key Responsibilities:

  • Review and analyze patient demographic, insurance, and clinical data to ensure accurate and timely payment processing.
  • Resolve issues related to patient insurance coverage, including obtaining necessary documentation and signatures.
  • Correct information in patient management and accounting systems.
  • Interact with patients, physicians, and insurance carriers to resolve issues and provide information.
  • Record phone interactions and follow up on resolution items in a timely manner.
  • Communicate hospital policies to patients and their representatives.
  • Ensure compliance with HIPAA, payer, and regulatory requirements.
  • 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.
  • Verify patient coverage for procedures and ensure compliance with Access Services Policy.
  • Act as a liaison between patients, physicians, and insurance carriers to pre-certify procedures.
  • Notify patients, physicians, and departments regarding potential non-covered procedures and coordinate payment plan arrangements.

Requirements:

  • High school diploma required; associate's degree or active pursuit of a degree preferred.
  • Minimum 2 years of customer service experience using computers required.
  • Minimum 2 years of previous healthcare or related experience, including familiarity with payer requirements, regulatory compliance, HIPAA, 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.
  • Visa sponsorship available for nursing and lab roles.

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, community-connected care. Our team members and physicians aim to deliver transformative patient experiences and expert care across our ambulatory locations and acute care hospitals.

When you work for Endeavor Health, you will be part of an organization that encourages employees to achieve career goals and maximize their professional potential.

Please explore our website to better understand how Endeavor Health delivers on its mission to help everyone in our communities be their best.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities.

Diversity, equity, and inclusion are at the core of who we are; being there for our patients and each other with compassion, respect, and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.