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Clinic - Insurance Verifier

Overview

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. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The Insurance Verifier is responsible for determining patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures notifies patient(s) of financial responsibility; collection arrangement is made prior to services rendered for all elective care. Verifies insurance eligibility, and benefits for emergent and urgent admissions, procedures or other services ensuring communication of patient responsibility to the patient or responsible party. Verifies and secures accurate patient demographic and insurance information, updating patient account information as needed. Assists patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services. Screens and refers patients for possible linkage to state, county, or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies. Maintains effective communication skills, including verbal, written and telephone. Proficient in mathematical skills.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

1.     Knowledge of standard insurance companies and verification requirements.

2.     Well versed in authorization processes for all payers.

3.     Ability to multi-task, prioritize needs to meet required timelines.

4.     Analytical and problem-solving skills.

5.     Customer Services experience required.

6.     High School Graduate or GED equivalent, required.

 

 

Mercy Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $16.35 to $21.45. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Average salary estimate

$18900 / YEARLY (est.)
min
max
$16350K
$21450K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Clinic - Insurance Verifier, Mercy Medical Center (OH)

Are you ready to embark on a fulfilling career as an Insurance Verifier at Mercy Medical Center in Aurora? This role is essential for ensuring that patients are informed of their financial responsibilities before undergoing elective procedures. As an Insurance Verifier, you'll take charge of determining patient liability based on their benefits, verifying eligibility for insurance, and assisting with any arrangements needed prior to services rendered. Your mathematical skills will come in handy as you diligently confirm accurate patient demographic and insurance details, ensuring everything is up to date. You'll be the friendly voice communicating with patients, guiding them through financial responsibilities and exploring options for assistance if needed. This position demands strong communication skills, both verbal and written, as well as the ability to multitask and prioritize effectively in a fast-paced environment. At Mercy Medical Center, we're proud to offer a competitive compensation package, which includes a variety of benefits such as paid time off, a retirement plan, and tuition reimbursement. If you're a high school graduate with experience in customer service and a knack for problem-solving, we want to hear from you! Join us and make a difference in our patients' lives today.

Frequently Asked Questions (FAQs) for Clinic - Insurance Verifier Role at Mercy Medical Center (OH)
What are the main responsibilities of the Insurance Verifier at Mercy Medical Center?

The Insurance Verifier at Mercy Medical Center is responsible for determining patient liability based on their insurance benefits and advising them before scheduled procedures. This role includes verifying eligibility, collecting financial arrangements, and ensuring that patients understand their financial responsibilities. They also assist with patient demographic updates and support patients in connecting with assistance programs when necessary.

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What qualifications do I need to become an Insurance Verifier at Mercy Medical Center?

To become an Insurance Verifier at Mercy Medical Center, candidates need a high school diploma or GED equivalent. Candidates should have knowledge of standard insurance companies and their verification requirements, along with experience in customer service. Strong analytical and problem-solving skills are essential, as is the ability to multitask effectively in a busy environment.

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Does Mercy Medical Center offer benefits for Insurance Verifier positions?

Yes, Mercy Medical Center offers a competitive benefits package for Insurance Verifiers that includes paid time off, retirement plans, and various healthcare coverages such as medical, dental, and vision. They also provide opportunities for tuition reimbursement and access to numerous volunteer benefit options to suit individual needs.

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How does the Insurance Verifier role contribute to patient care at Mercy Medical Center?

The Insurance Verifier plays a crucial role in enhancing patient care by ensuring that patients are well-informed about their financial responsibilities prior to receiving services. By verifying insurance benefits and helping patients understand their liabilities, the Insurance Verifier facilitates smoother transactions and reduces stress for patients, allowing them to focus on their health.

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What is the expected salary range for an Insurance Verifier at Mercy Medical Center?

The expected salary range for an Insurance Verifier at Mercy Medical Center is between $16.35 and $21.45 per hour. The exact compensation will be determined based on various factors including skill set, experience, education, and other credentials at the time of hiring.

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Common Interview Questions for Clinic - Insurance Verifier
Can you explain your experience with insurance verification processes?

In answering this question, highlight specific experiences where you have successfully navigated insurance verification. Discuss the types of insurance you've worked with and any specific software or systems you utilized. Emphasize your attention to detail and ability to analyze information accurately.

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How do you handle difficult conversations with patients regarding their financial responsibilities?

Addressing this question requires showcasing your communication skills. Explain how you maintain a calm and empathetic demeanor, and give examples of how you've resolved conflicts in the past. Highlight your ability to provide clear explanations and explore payment options when necessary.

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What steps do you take to ensure the accuracy of patient demographic and insurance information?

When answering, discuss the methods you use for verification, such as double-checking entries and using various verification tools. Explain your meticulous nature and how you prioritize accuracy to ensure the best outcomes for patients.

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Describe a scenario where you had to multi-task while working in a similar role.

Use this question to illustrate your organizational skills. Provide a real-life example where you balanced multiple responsibilities effectively, maintaining productivity without sacrificing quality. Highlight tools or strategies you employed to manage your time.

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How would you explain the importance of insurance verification to a patient who is unsure?

In your response, focus on empathy and clarity. Explain that insurance verification is a crucial step in understanding their financial responsibility, and it helps prevent unexpected charges. Reinforce that this process ultimately aims to assist them in better managing their healthcare expenses.

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What experience do you have in recognizing potential assistance programs for patients?

Discuss any experience you have had referring patients to assistance programs. Explain your understanding of how to assess a patient’s financial situation and your ability to connect them with the right resources to ease their financial burdens.

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How do you prioritize your tasks in a busy work environment?

Here, you should describe your time management techniques. Discuss specific methods you apply, such as creating to-do lists or utilizing task prioritization tools, to ensure you address urgent issues while maintaining regular duties.

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What do you think are the most important skills for an Insurance Verifier?

In your response, mention essential skills such as attention to detail, effective communication, and analytical thinking. Explain why these skills are critical for performing the duties of an Insurance Verifier successfully and ensuring positive patient interactions.

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How would you deal with a situation where you cannot verify a patient's insurance?

Explain the steps you would take in this scenario, such as reaching out to the patient to gather more information or contacting the insurance provider for assistance. Emphasize your resourcefulness and dedication to finding solutions that ensure patient care.

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Can you describe a time when you had to analyze data to solve a problem?

Provide a specific example of a situation where you used data analysis to inform a decision or solve an issue. Discuss the tools you used, how you interpreted the data, and the positive outcome that resulted from your analysis.

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Mercy Medical Center, a ministry of the Sisters of Charity Health System, operates a 476-bed hospital serving Stark, Carroll, Wayne, Holmes and Tuscarawas Counties and parts of Southeastern Ohio. It has 620 members on its medical staff and employs...

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DATE POSTED
April 15, 2025

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