Insurance Verification Specialist

Insurance Verification SpecialistShifts Available: DaysEmployment Type: Full-TimeHours: 8-hour – 8:00am to 4:30pmLocation: St. Joseph Medical Center – Kansas City, MOWe are seeking an Insurance Verification Specialist, sometimes referred to as a Hospital Insurance Verifier and Financial Counselor in our Admitting Department. The Insurance Verification Specialist or Insurance Verifier/Financial Counselor verifies patient insurance eligibility and benefits, determines financial responsibility, and communicates this to patients before procedures. The Hospital Insurance Verifier assists patients with payment arrangements and refers eligible individuals to assistance programs or discounts. Additionally, Insurance Verifiers collaborate with Case Management to secure necessary authorizations and maintain clear communication throughout the process.ResponsibilitiesVerify patients' insurance coverage and benefits thoroughly prior to hospital admission or scheduled procedures to ensure accurate billing and eligibilityAssess and determine patient financial responsibility based on insurance details and communicate this information clearly to both patients and hospital staffCoordinate the pre-authorization and insurance approval process to ensure all necessary approvals are secured before services are providedMaintain and update accurate patient insurance and demographic information within the hospital's electronic health record system to support smooth admissions and billingGuide and assist patients in accessing available financial assistance programs, answering billing questions, and resolving insurance-related concerns to ease their hospital experienceQualificationsTwo (2) years of medical insurance verification experience required.Customer Services experience required.Knowledge of standard insurance companies and verification requirements.Well versed in authorization processes for all payers.Ability to multi-task, prioritize needs to meet required timelines.Analytical and problem-solving skills.High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)Here are some of the benefits of working at Prime Healthcare:Health, dental, and vision insurance optionsPaid vacation, sick time and holidaysBereavement leave, FMLA and other leave optionsEmployer 401K optionsTuition reimbursement optionsLife, disability, and other insurance optionsMany other amazing benefitsFull benefits at Prime Healthcare: Status: Full TimeShift: DaysEqual Employment OpportunityCompany 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: