Patient Service Representative Insurance Verifier - Rehab Services

Edward-Elmhurst Health

  • Chicago, IL
  • Permanent
  • Full-time
  • 2 months ago
Hourly Pay Range: $19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Patient Service Representative and Insurance Verifier - Rehab Services – Days/EveningsPosition Highlights:
  • Position: Patient Service Representative and Insurance Verifier Rehab Services
  • Location: Chicago, IL
  • Full Time/Part Time: Full time; 40 hours
  • Hours: Rotating shift; Work 2 evenings until 7:00pm
  • Required Travel: yes
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 for eligible employees
  • 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 .When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”.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.Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

Edward-Elmhurst Health