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Insurance Verification Associate Jobs in Illinois

Insurance Verify Associate I

Chicago, IL · On-site

$16.48 - $23.13/hr

The Registration Complete Insurance Verification Associate is responsible for minimizing financial risk for hospitals and patients by accurately verifying insurance coverage, eligibility ...

Front Desk Associate

Lombard, IL · On-site

$18 - $21/hr

Front Desk Associate The Front Desk Associate serves as the first point of contact for patients and ... Verifies insurance eligibility and benefit coverage for all in-office visits, procedures, and tests

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Insurance Verification Associate information

What are the key skills and qualifications needed to thrive as an Insurance Verification Associate, and why are they important?

To thrive as an Insurance Verification Associate, you need strong attention to detail, knowledge of insurance policies and procedures, and typically a high school diploma or equivalent. Familiarity with insurance verification software, electronic health records (EHR) systems, and claims management tools is highly valuable. Excellent communication, problem-solving skills, and the ability to handle confidential information with discretion set top performers apart. These skills ensure accurate processing of patient insurance information, minimize billing errors, and support timely reimbursement for healthcare services.

What is the difference between Insurance Verification Associate vs Medical Billing Specialist?

AspectInsurance Verification AssociateMedical Billing Specialist
Primary RoleVerify patient insurance coverage and benefits before servicesProcess and submit medical claims for reimbursement
CredentialsHigh school diploma or equivalent; certifications like Certified Medical Administrative Assistant (CMAA) are commonHigh school diploma; certifications like Certified Professional Biller (CPB) are common
Work EnvironmentHealthcare offices, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Industry UsageUsed across healthcare providers to ensure insurance coverageUsed to handle claims processing and reimbursement

The Insurance Verification Associate focuses on confirming patient insurance details to ensure coverage before treatment, while the Medical Billing Specialist handles the claims process for reimbursement. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ in the patient verification versus billing process.

What does an Insurance Verification Associate do?

An Insurance Verification Associate is responsible for confirming a patient's insurance coverage and benefits before medical services are provided. Their tasks include contacting insurance companies, verifying policy details, determining coverage limits, and ensuring that procedures are authorized. This role helps prevent billing issues and ensures that patients and providers understand what costs will be covered. Insurance Verification Associates play a crucial part in the healthcare revenue cycle by reducing claim denials and improving the patient experience.

What are some common challenges faced by Insurance Verification Associates, and how can they be overcome?

Insurance Verification Associates often encounter challenges such as navigating complex insurance policies, handling discrepancies in patient information, and managing high call volumes with insurance companies. To overcome these, associates should develop strong attention to detail, effective communication skills, and proficiency with insurance databases and electronic health record systems. Staying organized and keeping up-to-date with insurance policy changes also helps ensure accurate and timely verification, which ultimately supports smooth patient billing and care processes.
What are the most commonly searched types of Insurance Verification jobs in Illinois? The most popular types of Insurance Verification jobs in Illinois are:
What are popular job titles related to Insurance Verification Associate jobs in Illinois? For Insurance Verification Associate jobs in Illinois, the most frequently searched job titles are:
What cities in Illinois are hiring for Insurance Verification Associate jobs? Cities in Illinois with the most Insurance Verification Associate job openings:
Insurance Verify Associate I

Insurance Verify Associate I

R1 RCM

Chicago, IL • On-site

$16.48 - $23.13/hr

Other

Posted 3 days ago


R1 RCM rating

6.9

Company rating: 6.9 out of 10

Based on 178 frontline employees who took The Breakroom Quiz

123rd of 138 rated financial services


Job description

At R1, we Unleash Talent by supporting our associates' career growth and we encourage our associates to apply to roles that can help them attain their career goals. If you think the open position, you see is right for you, we encourage you to apply! R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

The Registration Complete Insurance Verification Associate is responsible for minimizing financial risk for hospitals and patients by accurately verifying insurance coverage, eligibility, authorization requirements, and plan limitations. This role ensures correct insurance information is documented on patient accounts, determines network status, and identifies resources for patients facing financial challenges. The associate collaborates with clinical teams to gather and submit necessary documentation, notifies payers of admissions, and obtains required authorizations. Success in this position is measured through weekly productivity scorecards and quality audits.

Here's what to expect as an Insurance Verification Associate:

  • Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements.

  • Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received.

  • Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records.

  • Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.

  • Identifies and corrects inaccurate insurance plan codes within the hospital system.

  • Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders.

  • Other assigned duties and tasks.

Preferred Qualifications:

  • At least one (1) year of similar experience (patient-facing, Registration Complete).

  • Excellent customer service skills exhibiting good oral and written communication skills.

  • Ability to work with peers in a team effort and cross-functionally

  • Must be able to communicate effectively and professionally to our patients and physician offices.

For this US-based position, the base pay range is $16.48 - $23.13 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (http://go.r1rcm.com/benefits)

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .


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About R1 RCM

Sourced by ZipRecruiter

R1 RCM, Inc., based in Salt Lake City, UT, US, is a leading provider of technology-enabled revenue cycle management services which transform and solve revenue cycle performance challenges across hospitals, health systems, and physician groups. R1’s proven, scalable operational model seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows. Founded in 2003, the company was initially named Accretive Health. It became R1 RCM in 2017 following a significant commitment by Ascension, the largest non-profit health system in the U.S., to long-term partnerships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Murray, UT, US

Year founded

2003

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