Insurance Advisor

Trinity Health

1d • Onsite

About The Position

This part-time position provides clerical support services to the department, encompassing secretarial, clerical, and reception tasks. The primary responsibilities include obtaining and documenting pre-certification for pre-authorized insurance requests related to Wound services and procedures, as well as securing authorizations for referrals to other services when necessary. The Insurance Advisor will act as an intermediary between physicians, Genesis Medical Center departments, and insurance organizations to resolve pre-certification issues. This role also involves initiating and following up on appeals for denied payments. The advisor is expected to ensure high patient and customer satisfaction and that the pre-certification process effectively meets the needs of physicians, patients, and Genesis Medical Center. Furthermore, the position serves as the main point of contact for clinical physicians, the physician's billing office, and various Genesis Medical Center departments.

Requirements

• 2 year college program or equivalent experience
• Field of Study: Finance, Business, or related field
• Word processing and other Windows-based computer applications
• Experience in billing
• Experience in insurance verification
• Experience in customer service
• Experience in front desk registration

Responsibilities

• Provides support services of clerical functions to the department, including secretarial, clerical and reception task.
• Responsible for obtaining and documenting pre-certification of pre-authorized insurance requests for Wound services and procedures.
• Responsible for obtaining authorizations, when required, for referrals for other services.
• Will interface between physicians, Genesis Medical Center departments, and insurance organizations regarding pre-certification 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 Medical Center needs.
• 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: 251-500 employees