Insurance Verifier

Position Title: Insurance Verifier

Full-time - 6a-230p

Day Shift

Compensation: $22.29 hr - $26.74hr.

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:

Insurance Verification & Eligibility

· Verify insurance eligibility and benefits for all assigned inpatient and observation accounts.

· Re-verify insurance coverage when patients transition into a new calendar month to ensure continued eligibility and prevent billing denials.

· Review and update insurance information accurately within Meditech Expanse.

· Identify discrepancies in coverage, subscriber information, coordination of benefits, or registration data.

· Review payer requirements for inpatient admissions, observation stays, and specialty services.

Authorization Management

· Obtain, review, document, and track prior authorizations and inpatient notifications as required by payers.

· Monitor authorization status throughout the patient's stay and ensure extensions or updates are obtained timely.

· Communicate authorization concerns, delays, or denials to appropriate departments promptly.

· Maintain accurate authorization documentation within Meditech Expanse.

Account Review & Error Identification

· Missing or incorrect insurance information

· Conduct daily account audits to identify

· Coverage termination issues

· Authorization deficiencies

· Registration inaccuracies

· Incorrect patient class or financial data

· Report identified workflow or registration errors to direct leadership for corrective action and process improvement.

· Escalate high-risk accounts that may impact reimbursement or patient care.

Collaboration & Communication

· Work collaboratively with:

· Registration

· Financial Counseling

· Case Management

· Utilization Review

· Nursing Units

· Patient Financial Services

· Provide timely updates regarding insurance or authorization barriers impacting patient care or reimbursement.

· Assist departments with payer requirement clarification and insurance-related questions.

Documentation & Compliance

· Maintain complete, accurate, and timely documentation within Meditech Expanse.

· Ensure compliance with hospital policies, payer regulations, HIPAA guidelines, and departmental workflows.

· Meet productivity and quality standards established by leadership.

· Requirements

This position requires a rotating schedule, including rotating weekdays, weekends, and holidays as assigned.

· Rotational coverage is necessary to ensure continuous monitoring of:

· New month insurance eligibility changes

· Inpatient authorization updates

· Observation stay reviews

· Time-sensitive payer requirements

· Flexibility to support departmental operational needs is required.

· Ability to communicate effectively & timely

· Ability to work closely with other departments to ensure timely reimbursement

· One or more years of insurance verification experience.

· High school diploma or equivalent.

Benefits

Comprehensive health insurance plans (medical, dental, vision)
Coverage begins first day of employment

Employer-matched retirement plans

Eligibility for the Public Service Loan Forgiveness (PSLF) Program

Free on-site parking

Saint Anthony Hospital Highlights:

• Community Hospital with Modern Technology: Work in an environment that blends advanced tools with a mission‑driven, community‑focused approach.
• Competitive Salaries: Earn a strong, market‑aligned compensation package.
• Innovative Environment: Be part of a soon‑to‑come transformation as we transition into a new, next‑generation healthcare campus.
• Collaborative Culture: Join a close‑knit team that values communication, teamwork, and mutual support.
• Professional Growth: Build your skills in an organization that invests in its people and encourages continuous development.
• Meaningful Work: Serve a diverse patient population and make a real impact on their health journey.
• Recognition: We are a certified Primary Stroke Center and a respected teaching hospital shaping the next generation of healthcare professionals.

EQUAL OPPORTUNITY

Saint Anthony Hospital is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.