INSURANCE VERIFIER
Company: Saint Anthony Hospital
Location: Chicago
Posted on: October 15, 2024
Job Description:
Insurance Verifier - Admitting Department
Rotating Shift, Full Time
Saint Anthony Hospital is a diverse and community-centric
organization your career can thrive in, while addressing the health
and wellness challenges that families in our neighborhood face. Our
employees deliver on our mission and achieve success by working
together to provide excellent customer service and patient
care.
As part of Saint Anthony Hospital's commitment to providing the
highest quality health care, we will be building a new
state-of-the-art hospital to serve as an anchor to the Focal Point
Community Campus. Learn more at focalpointchicago.org.
Position Purpose:
- Contact insurance companies to secure accounts prior to
services being rendered.
- Obtain authorization and/or referrals as required.
- Initiates and processes the pre-admission and pre-registration
function for patients entering the organization for surgery and
ancillary services. Essential Functions:
- Reviews preadmission/pre-registration files/reports daily and
conducts telephone calls to various insurance payers as well as to
appropriate patients at least 72 hours prior to date of service.
Follows up with patient until payer information has been received,
deposit made, and/or payment arrangements made according to
policy.
- Verifies insurance benefits assigned, accesses third party
intermediary systems for eligibility status, acquires authorization
approvals, contact primary care physician when necessary to
initiate pre-certification or authorization for services, and
documents all updated financial/demographic information into the
hospital system after reviewing the financial account for status of
all necessary information.
- Communicates with physicians and other medical staff for intake
of medical diagnosis or procedures for patient reservations as well
as interpreting physician orders for ancillary services.
- Explains financial requirements to the patients, guarantor or
family members. Informs patients/family members of deductibles for
elective procedures prior to date of service. Records anticipated
payment patient is to bring on the day of service.
- Offers opportunities for payment, secures payment or contract
for payment, refers account to Financial Counselor to initiate
applications for MANG and Charity Care.
- Maintains all department logs, reports, and records, including
daily and weekly management reports of work received, work
completed, and work to be completed. Documents activities as
appropriate in the collection notes and workstation of the
system.
- Enters comprehensive registration data set into hospital system
by interviewing patients in by telephone to secure demographic,
clinical and financial information. Evaluates demographic and
financial data for potential problems or financial risk, works to
resolve these problems with medical staff, financial counselors and
appropriate administrator on call. General Job requirements:
- Knowledge of system support issues that affect billing,
collection, and cash application functions.
- Knowledge of healthcare reimbursement principles.
- Knowledge of healthcare computer systems relating to patient
access and patient financial services.
- 1-3 years of customer service experience
- Ability to communicate effectively
- Ability to type minimum 30 wpm Saint Anthony Hospital
Highlights:
- Saint Anthony Hospital is an independent, nonprofit,
faith-based, acute care, community hospital dedicated to improving
the health and wellness of the families on the West Side and
Southwest Side of Chicago.
- Saint Anthony Hospital has been certified as a Primary Stroke
Center by The Joint Commission.
- Saint Anthony Hospital offers competitive wages and a
comprehensive benefits program for employees and their
families.
- Saint Anthony Hospital employs and teaches some of the city's
brightest, most innovative resident physicians and medical
students.
Keywords: Saint Anthony Hospital, Oak Lawn , INSURANCE VERIFIER, Other , Chicago, Illinois
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