Insurance Advisor

Trinity Health

129d

About The Position

The position provides support services of clerical functions to the department, including secretarial, clerical, and reception tasks. The individual will be responsible for obtaining and documenting pre-certification of pre-authorized insurance requests for Wound services and procedures. Additionally, the role involves obtaining authorizations for referrals to other services when required. The position will interface between physicians, Genesis Medical Center departments, and insurance organizations regarding pre-certification issues. The individual will initiate and follow up on appeals for denied payments, ensuring that all activities achieve high patient and customer satisfaction and that the pre-certification process meets the needs of physicians, patients, and Genesis Medical Center. The role serves as the primary contact for clinical physicians, the physician's billing office, and Genesis Medical Center departments.

Requirements

• Completion of a 2-year college program or equivalent experience.
• Experience in billing, insurance verification, customer service, and front desk registration.
• Proficiency in word processing and other Windows-based computer applications.

Responsibilities

• Provide clerical support services including secretarial and reception tasks.
• Obtain and document pre-certification of pre-authorized insurance requests for Wound services and procedures.
• Obtain authorizations for referrals to other services when required.
• Interface between physicians, Genesis Medical Center departments, and insurance organizations regarding pre-certification issues.
• Initiate and follow up on appeals for denied payments.
• Ensure high patient and customer satisfaction.
• Serve as primary contact for clinical physicians, physician's billing office, and Genesis Medical Center departments.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees