Insurance Advisor

Trinity Health•Crow Valley, KY

6d•Onsite

About The Position

Under the general direction of the Clinic Manager, serves as an assistant to the physicians and other support staff members. Provides support services and coordination of clerical functions to the department, including secretarial, clerical and reception tasks. Responsible for obtaining and documenting pre-certification of pre-authorized insurance requests for Clinic services and procedures. Responsible for obtaining authorizations, when required, for referrals for other services. Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues. Initiate and follow up on appeals for denied payments. Will ensure that all activities achieve high patient and customer satisfaction and that pre-certification process meets physician, patient, and Genesis Health Group needs. Serves as primary contact for clinical physicians, physician's billing office, and Genesis Health Group support departments. Work requires moderate responsibility for material resources. Examples of resources could include operating budgets for a work unit or department, specialized equipment, costly or unusual materials or supplies, large amounts of cash or other material assets. The employee has a moderate amount of control over these resources. The cost of errors might result in moderate damage, waste or financial loss. The difficulty, variety and depth of problems associated with these material resources is moderately complex.

Requirements

2 year college program or equivalent experience
Finance, Business, or related field
Word processing and other Windows-based computer applications
Experience in billing, insurance verification, customer service & front desk registration
More than 1 year experience required

Nice To Haves

Medical Terminology
ICD-CM Coding, training/experience
Experience in billing, accounts receivable, insurance and pre-authorization verification.

Responsibilities

Obtaining and documenting pre-certification of pre-authorized insurance requests for Clinic services and procedures.
Obtaining authorizations, when required, for referrals for other services.
Interfacing between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues.
Initiating and following up on appeals for denied payments.
Ensuring that all activities achieve high patient and customer satisfaction and that pre-certification process meets physician, patient, and Genesis Health Group needs.
Serving as primary contact for clinical physicians, physician's billing office, and Genesis Health Group support departments.