Insurance Advisor - Orthopedic Work Comp - Full Time
About The Position
Under the general direction of the Clinic Manager, the Insurance Advisor assists physicians and other support staff and coordinates clerical functions for the department, including secretarial, clerical, and reception tasks. The role obtains and documents pre-certification for pre-authorized insurance requests for clinic services and procedures, and obtains authorizations for referrals to other services when required. The Insurance Advisor interfaces with physicians, Genesis Health Group departments, and insurance organizations regarding pre-certification issues, and initiates and follows up on appeals for denied payments. The role helps ensure high patient and customer satisfaction and that the pre-certification process meets the needs of physicians, patients, and Genesis Health Group. The Insurance Advisor is the primary contact for clinical physicians, the physician's billing office, and Genesis Health Group.
Requirements
- Two-year college program or equivalent experience in finance, business, or a related field.
- Experience with word processing and other Windows-based computer applications.
- Experience in billing, insurance verification, customer service, and front desk registration.
- Medical terminology and ICD-CM coding training or experience.
- Experience in billing, accounts receivable, insurance, and pre-authorization verification.
- More than one year of experience required.
Responsibilities
- Assist physicians and other support staff.
- Provide and coordinate departmental secretarial, clerical, and reception functions.
- Obtain and document pre-certification for pre-authorized insurance requests for clinic services and procedures.
- Obtain authorizations for referrals to other services when required.
- Interface with physicians, Genesis Health Group departments, and insurance organizations regarding pre-certification issues.
- Initiate and follow up on appeals for denied payments.
- Help ensure high patient and customer satisfaction and a pre-certification process that meets the needs of physicians, patients, and Genesis Health Group.
- Serve as the primary contact for clinical physicians, the physician's billing office, and Genesis Health Group.
Benefits
- Competitive compensation and a full benefits package.
- Opportunity for growth throughout the system.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
