Insurance Verifier - Prior Authorizations

Overview

Come Join Prime Healthcare as an Insurance Verifier at Holy Family Medical Center!

Are you looking for a fast-paced, purpose-driven role where you can make a real impact on patient care?

Join our dynamic and collaborative team, where delivering timely, authorizations for patients is our top priority. In this role, you'll play a key part in ensuring patients receive the care they need by obtaining prior authorizations from insurance carriers while providing excellent customer service. This role is perfect for someone who enjoys multitasking and being a part of contributing to a team's performance goals.

Location

• Holy Family Medical Center - 100 N. River Rd. Des Plaines, IL

Department

• Insurance Verification - Prior Authorizations

Training Schedule -

• First 30 days Monday- Friday 8:00-4:30pm

Work Schedule

• Monday- Friday 9:30-6:00pm

Why Join our Team?

We thrive on teamwork, celebrate employee contributions, and foster a supportive environment where success is shared. If you're passionate about service excellence and thrive in a high-energy setting, we’d love to have you on our team.

Responsibilities

The Insurance Verifier is responsible for determining patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient(s) of financial responsibility; collection arrangement is made prior to services rendered for all elective care. Verifies insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party. Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed. Assists patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services. Screens and refers patients for possible linkage to state, county, or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Knowledge of standard insurance companies and verification requirements.

2. Well versed in authorization processes for all payers.

3. Ability to multi-task, prioritize needs to meet required timelines.

4. Analytical and problem-solving skills.

5. Customer Services experience required.

6. High School Graduate or GED equivalent, required.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here:

Pay Transparency

Prime Healthcare Illinois Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $16.75 to $24.26. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: