Insurance Verifier - Admitting, Clovis NM

The Insurance Verifier is responsible for the successful completion for all Scheduled and Nonscheduled patient accounts: pre-registration, insurance eligibility, benefits verification, payer plan code assignment, referral coordination and financial clearance. Responsible for independently resolving any insurance verification and financial clearance issue prior to and after an appointment; this involves contacting patients and insurance/third party payers to resolve eligibility and benefits issues and to initiate insurance appeals if necessary. Responsible for communicating with practice managers, clinicians, staff and patients to ensure that visits are appropriately registered, and meet all insurance billing requirements. Expected to notify the appropriate practice manager when patient accounts are at financial risk and to recommend options that will sustain the Hospital while ensuring financial reimbursement.

Type of Opportunity: Full Time, non-exempt
FTE: 1.000000
Work Schedule: Varied Days and Hours

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.

How you grow, learn and thrive matters here.

Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Strongline Staff Safety (a wearable badge that allows employees to quickly and discreetly call for help when safety is a concern)

Schedule a one-on-one chat with a Clinical Recruiter by clicking here

• Minimum education: High School Diploma or GED
• Preferred Experience in one or more of the following:
  • Insurance authorizations
  • CPT and ICD-10 Codes
  • Familiarity with insurances
  • Experience with Work Queues within EPIC

Learn more about our employee benefits.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

About Plains Regional Medical Center

Near the Texas border in Clovis, this not-for-profit regional medical center has 106 licensed beds and proudly serves the eastern New Mexico and west Texas communities.

The people of Plains Regional Medical Center - physicians, nurses, clinicians, support staff, board members, chaplains, and auxiliaries - take great pride in a long tradition of delivering patient care, a wide range of general acute care, and specialty services to residents and visitors.

With a population of more than 45,000, Clovis is a family-friendly city that neighbors the Cannon Air Force Base and is known for having one of the busiest community calendars in the state. The city offers a variety of events situated around the area's culture, early rock 'n roll history and outdoor recreational facilities. Learn more about Clovis here.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.