Insurance Specialist

Lifepoint Health • Lebanon, KY

23h

About The Position

The Insurance Specialist verifies and documents insurance benefits, secures pre-certification and referral numbers, and estimates and collects patient liabilities for scheduled outpatient procedures. The role performs insurance eligibility and pre-certification checks, confirms active coverage using eligibility tools, payer websites, and phone systems, and ensures required authorizations are obtained and documented before appointments. The specialist communicates with payers about CPT code discrepancies or changes, coordinates with physician offices and hospital departments to obtain or share clinical information, and informs relevant teams when benefits cannot be verified. The role also creates and explains liability estimates, follows up on invalid or terminated insurance information, and provides registration functions as needed. The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. EST, with a stated pay rate of $16.

Requirements

• High school diploma or equivalent.
• One year of experience obtaining and verifying pre-certifications with various insurance companies.

Nice To Haves

• Two years of college or medical office specialist education.

Responsibilities

• Verify and document insurance benefits for scheduled outpatient procedures.
• Obtain required pre-certifications and referral numbers in a timely manner and document them before appointments.
• Notify physician offices and centralized scheduling when pre-certification is not obtained in time for a patient appointment.
• Contact payers by phone and through payer websites in accordance with payer pre-certification and verification regulations.
• Communicate with insurance payers about CPT code discrepancies or changes made at the radiologist’s discretion.
• Perform insurance verification, eligibility checks, and pre-certification for scheduled outpatient procedures.
• Maintain current knowledge of outpatient imaging policies and procedures.
• Verify active insurance coverage and obtain benefit information using eligibility tools, payer websites, and payer phone systems.
• Notify the Benefits and Notification Specialist when a patient has no verifiable insurance benefits to cover a scheduled procedure.
• Work with physician offices and hospital departments to obtain clinical information, provide necessary information, or forward relevant documents.
• Create and explain patient liability estimates for scheduled and add-on procedures.
• Contact patients or physician offices when insurance information is invalid or terminated.
• Provide registration functions as needed.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED