Insurance Specialist/Admin Plastic Surgery Department

Nationwide Children's Hospital•Columbus, OH

9d•Hybrid

About The Position

Participates in the pre-authorization documentation process, obtaining, compiling, maintaining, and issuing necessary records, reports, ensuring accuracy of content and correct distribution. Documents pre-authorization information appropriately in the hospital information system. Contacts insurance companies to obtain pre-authorization for surgeries, office visits and in clinic procedures, providing updates as needed throughout the pre-authorization process. Reviews pending pre-authorizations and provides follow up if needed. Helps families establish care with Complex Medical Help Program with the State of Ohio. This is a 40 hours/week M-F position. A work from home day will be offered once a week. Performs moderately complex administrative duties for one or more individuals within the department.

Requirements

High School Diploma or equivalent, required.
Computer skills
Decision Making
Audible speech
Depth perception
Hand use: grasping, gripping, turning
Hearing acuity
Peripheral vision
Problem solving
Seeing – Far/near
Sitting

Nice To Haves

Two years of administrative experience, preferred.
Must complete Ambassador Program within first 12 months of employment.

Responsibilities

Participates in the pre-authorization documentation process, obtaining, compiling, maintaining, and issuing necessary records, reports, ensuring accuracy of content and correct distribution.
Documents pre-authorization information appropriately in the hospital information system.
Contacts insurance companies to obtain pre-authorization for surgeries, office visits and in clinic procedures, providing updates as needed throughout the pre-authorization process.
Reviews pending pre-authorizations and provides follow up if needed.
Helps families establish care with Complex Medical Help Program with the State of Ohio.
Provides excellent service to both internal and external customers by applying best practices and standard operating procedures.
Prepares correspondence, documents, reports and other materials which may be moderately complex or confidential, sometimes requiring independent judgment.
Schedules appointments for department staff.
Participates in department projects of moderate scope and complexity.
May provide assistance in training and orientation of colleagues.
May assist in the completion of reimbursement requests for assigned staff.