Specialist, Insurance

Lifepoint Health • Georgetown, KY

1d • Onsite

About The Position

The Insurance Coordinator is responsible for verifying insurance benefits, obtaining authorizations, and ensuring accurate documentation for bariatric procedures. This role focuses on timely and accurate insurance verification and authorization to support patient care and revenue cycle processes.

Requirements

• Strong critical thinking and decision-making skills
• Ability to work independently with minimal supervision
• Ability to manage multiple tasks in a fast-paced environment
• Strong attention to detail and organizational skills
• Effective communication skills when working with payers and patients
• Working knowledge of managed care and third-party payers required
• Knowledge of insurance verification, authorization processes, and payer requirements
• Understanding of medical terminology, CPT codes, and insurance eligibility systems
• Ability to navigate payer portals and electronic medical record systems effectively
• Strong customer service and interpersonal communication skills
• Ability to maintain confidentiality and handle protected health information appropriately
• High school diploma or equivalent required
• At least one year of experience obtaining and verifying pre-certifications with multiple insurance companies required
• Previous experience working with managed care and third-party payers required

Nice To Haves

• Two years of college or completion of a medical office specialist program preferred

Responsibilities

• Ensures all required pre-certifications for scheduled surgeries and procedures are obtained in a timely manner and documented prior to the appointment
• Maintains frequent contact with insurance payers via phone and payer websites to meet verification and authorization requirements
• Verifies active insurance coverage and obtains detailed benefit information using eligibility tools, payer portals, and phone systems
• Communicates with insurance payers regarding CPT code discrepancies or updates when needed
• Collects and submits required clinical information for authorization review as needed
• Notifies appropriate staff when coverage cannot be verified for a scheduled procedure
• Prepares and explains patient liability estimates for scheduled and add-on procedures
• Contacts patients when insurance information is invalid or has been terminated
• Performs registration-related functions as needed

Benefits

• Health (Medical, Dental, Vision) and 401K benefits for full-time employees
• Competitive Paid Time Off
• Employee Assistance Program (mental, physical, and financial wellness support)
• Tuition Reimbursement/Assistance for qualified applicants
• Optional coverage: accident, critical illness, short- and long-term disability, and hospital indemnity insurance
• Professional development opportunities
• Free parking

What This Job Offers

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