Healthcare Insurance & Authorization Specialist

Beacon Health System; South Bend (IN); On-site; USD 42,000 - 54,000; Full time

Job summary

Beacon Health System in Indiana seeks a Health Insurance Specialist to review patient records, verify insurance eligibility, and ensure benefits cover required procedures. You will educate patients about insurance, coordinate daily administrative activities, and maintain accurate documentation while serving as a resource to staff and patients.

You will collaborate with physicians and clinical staff to obtain prior authorizations, audit billing for proper documentation, and assist in resolving

Qualifications

• Associate degree in medical billing, coding, health informatics or related field with certification.
• Knowledge of medical terminology and coding practices applicable to billing.
• Ability to use coding software and EHR systems effectively.
• Understanding of Medicare/Medicaid guidelines and payer rules.
• Strong attention to detail and accuracy in documentation.

Responsibilities

• Review patient records using medical coding procedures.
• Verify insurance eligibility and ensure benefits cover required procedures.
• Educate patients regarding insurance and benefits.
• Coordinate daily administrative activities and patient support functions.
• Audit billing and documentation for correct reimbursement.
• Explain documentation issues to physicians and staff to correct errors.
• Serve as on-site Insurance Specialist resource to staff and physicians.
• Assist with updating staff on coding changes and regulatory requirements.
• Communicate with patients, employers, and third-party payers.
• Follow up on insurance denials and appeals with patient accounts.

Skills

Medical terminology

Communication skills

Medicare/Medicaid knowledge

Patient relations

Professionalism

Analytical skills

Detail oriented

EHR software

Coding software

Education

Associate’s degree in medical billing/coding/health informatics

Tools

Coding software

Electronic Health Records (EHR)

Databases

Microsoft Office

Medical billing software

Job description

Beacon Health System in Indiana seeks a Health Insurance Specialist to review patient records, verify insurance eligibility, and ensure benefits cover required procedures. You will educate patients about insurance, coordinate daily administrative activities, and maintain accurate documentation while serving as a resource to staff and patients.

You will collaborate with physicians and clinical staff to obtain prior authorizations, audit billing for proper documentation, and assist in resolving