Patient Service Representative and Insurance Verifier Rehab Services
Endeavor Health, Glenview, IL, United States
Patient Service Representative and Insurance Verifier - Rehab Services
Position Highlights:
Position: Patient Service Representative and Insurance Verifier - Rehab Services
Days/Evenings
Location: Glenview, IL, Park Center
Per Diem hours as needed
Hours: Clinic open M-TH 7am-7pm, F 7am-5pm, S 8am-2pm
Required Travel: no
What you will do:
Reporting to the Rehabilitation Service Manager works with patients and their representatives and insurance carriers and employer's to determine patient benefits eligibility, pre-certify services and performs verification of benefits to ensure revenue reimbursement. Screens registration data for compliance with payer and pre-certification requirements, corrects and updates accounts and bills to the appropriate party. Services primarily includes, but not limited to Physical Therapy, Occupational Therapy and Speech Therapy.
What you will do:
Reviews and analyzes all required demographic, insurance/financial, and clinical data procured by patient intake and registration areas necessary to expedite payment on patient's accounts
Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payer requirements.
Researches pre-certification denials including missing authorization, patient pre-certification or referral documentation.
Confirms referral requirements for individual plans and works with referring physician offices as needed to obtain referrals for all scheduled services, including referrals for additional office visits
Works productively and efficiently from a task-based work queue. Maintains an acceptable level of productivity as determined by the Rehab Services department to meet business needs though volumes may vary.
What you will need:
Education: High School diploma or GED required. Associate degree in business or healthcare preferred.
Certification: Valid driver's license is required if the incumbent is selected to perform related duties at an off-site location. If incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
Experience: Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.
Unique or Preferred Skills:
Knowledge of health insurances, medical terminology and anatomy preferred.
Strong data entry and keyboarding skills preferred.
Knowledge of Microsoft Office Suite preferred. Manual dexterity to operate various office machines required.
Benefits (For full time or part time positions):
Premium pay such as shift, on call, holiday and more based on an employee's job (For eligible positions)
Incentive pay for select positions
Opportunity for annual increases based on performance
Career Pathways to Promote Professional Growth and Development
Various 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
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals
Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago)
all recognized as Magnet hospitals for nursing excellence.
For more information, visit www.endeavorhealth.org.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belongingeach of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Position Highlights:
Position: Patient Service Representative and Insurance Verifier - Rehab Services
Days/Evenings
Location: Glenview, IL, Park Center
Per Diem hours as needed
Hours: Clinic open M-TH 7am-7pm, F 7am-5pm, S 8am-2pm
Required Travel: no
What you will do:
Reporting to the Rehabilitation Service Manager works with patients and their representatives and insurance carriers and employer's to determine patient benefits eligibility, pre-certify services and performs verification of benefits to ensure revenue reimbursement. Screens registration data for compliance with payer and pre-certification requirements, corrects and updates accounts and bills to the appropriate party. Services primarily includes, but not limited to Physical Therapy, Occupational Therapy and Speech Therapy.
What you will do:
Reviews and analyzes all required demographic, insurance/financial, and clinical data procured by patient intake and registration areas necessary to expedite payment on patient's accounts
Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payer requirements.
Researches pre-certification denials including missing authorization, patient pre-certification or referral documentation.
Confirms referral requirements for individual plans and works with referring physician offices as needed to obtain referrals for all scheduled services, including referrals for additional office visits
Works productively and efficiently from a task-based work queue. Maintains an acceptable level of productivity as determined by the Rehab Services department to meet business needs though volumes may vary.
What you will need:
Education: High School diploma or GED required. Associate degree in business or healthcare preferred.
Certification: Valid driver's license is required if the incumbent is selected to perform related duties at an off-site location. If incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
Experience: Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.
Unique or Preferred Skills:
Knowledge of health insurances, medical terminology and anatomy preferred.
Strong data entry and keyboarding skills preferred.
Knowledge of Microsoft Office Suite preferred. Manual dexterity to operate various office machines required.
Benefits (For full time or part time positions):
Premium pay such as shift, on call, holiday and more based on an employee's job (For eligible positions)
Incentive pay for select positions
Opportunity for annual increases based on performance
Career Pathways to Promote Professional Growth and Development
Various 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
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals
Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago)
all recognized as Magnet hospitals for nursing excellence.
For more information, visit www.endeavorhealth.org.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belongingeach of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.