An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
Insurance Verification Specialist St. Joseph Medical Center - 3.4 Kansas City, MO Job Details Full-time 20 hours ago Benefits Paid holidays Health insurance Dental insurance 401(k) Tuition reimbursement Vision insurance Bereavement leave Qualifications Customer communication Medical insurance coverage verification High school diploma or GED Customer service problem-solving
Full Job Description Overview:
Shift s
Available:
Days Employment Type:
Full-Time Hours:
8-hour - 8:00am to 4:30pm
Location:
St. Joseph Medical Center - Kansas City, MO We 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 assist patients with payment arrangements and refer 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.
Responsibilities:
Verify patients' insurance coverage and benefits thoroughly prior to hospital admission or scheduled procedures to ensure accurate billing and eligibility Assess and determine patient financial responsibility based on insurance details and communicate this information clearly to both patients and hospital staff Coordinate the pre-authorization and insurance approval process to ensure all necessary approvals are secured before services are provided Maintain and update accurate patient insurance and demographic information within the hospital's electronic health record system to support smooth admissions and billing Guide and assist patients in accessing available financial assistance programs, answering billing questions, and resolving insurance-related concerns to ease their hospital experience
Qualifications:
Two (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 options Paid vacation, sick time and holidays Bereavement leave, FMLA and other leave options Employer 401K options Tuition reimbursement options Life, disability, and other insurance options Many other amazing benefits Full benefits at
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.
