Insurance Verifier

About the role

Build Your Career at Presbyterian. As an Insurance Verifier, you will help ensure patients have timely access to care by verifying insurance coverage, coordinating financial clearance, and resolving eligibility issues. Your work will support both the patient experience and the overall financial health of the organization. Type of Opportunity: Full time Job Exempt: No Job is based: PMG - Plains Regional Medical Center Cancer Center Work Shift: Days (United States of America)

Responsibilities

• Coordinates all aspects of account financial clearance, including pre-registration, insurance eligibility and benefits verification, referral coordination, and patient financial responsibility communication.
• Accurately collects, verifies, and updates patient demographic, registration, and insurance information within hospital systems.
• Responds to patient and payer inquiries regarding registration, billing, insurance requirements, and available services, routing concerns as appropriate.
• Collaborates with patients, providers, practice managers, and third-party payers to resolve registration, authorization, and financial issues, including appointment rescheduling when necessary.
• Maintains professionalism and effective communication while supporting patients from diverse cultural and socioeconomic backgrounds.
• Prioritizes assigned accounts, completes follow-up activities, and documents work accurately to ensure timely financial clearance and billing compliance.
• Escalates issues or potential risks to leadership in a timely manner and takes ownership of assigned accounts from start to resolution.
• Assists with onboarding and training of new team members as needed.
• Adheres to quality, productivity, and documentation standards to support departmental performance and organizational goals.

Requirements

• High school diploma or GED required.
• Minimum of one year of relevant healthcare experience preferred, such as patient registration, business office, medical office, or insurance verification.
• One to two years of customer service experience required.
• Strong interpersonal skills with the ability to work effectively with patients, the public, and all levels of staff and leadership.
• Excellent organizational, multitasking, and prioritization skills required.
• Proficiency in typing and 10-key data entry required.
• Bilingual skills preferred.
• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Wellness
• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
• About Presbyterian Healthcare Services
• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
• AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
• We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Benefits

Additional Information

Location Address: 2219 Dillon Rd Clovis, NM 88101-9454 Compensation Pay Range: Minimum Offer $0.00 Maximum Offer $0.00 Now Hiring: Insurance Verifier

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