Insurance Advisor-Full time-Days-Bettendorf

Trinity Health; Pleasant Valley Township (IA); On-site; USD 36,000 - 56,000; Full time

Job summary

MercyOne Health System in Iowa is hiring an Insurance Advisor to support clinicians and front desk staff. Under the Clinic Manager, you will handle pre-certification, authorizations for referrals, and collaborate with insurance organizations to resolve precertification issues.

You will serve as the primary contact for physicians and the billing office, initiating appeals for denied payments and aiming for high patient and customer satisfaction.

Qualifications

• 2 year college program or equivalent experience.
• Finance, Business, or related field.
• Word processing and other Windows-based computer applications; experience in billing, insurance verification, customer service & front desk registration.

Responsibilities

• Obtain and document pre-certification of pre-authorized insurance requests for Clinic services and procedures.
• Obtain authorizations, when required, for referrals for other services.
• Interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues.
• Initiate and follow up on appeals for denied payments.
• Serve as primary contact for clinical physicians, physician's billing office, and Genesis Health Group support departments.
• Ensure that all activities achieve high patient and customer satisfaction and that pre-certification process meets physician, patient, and Genesis Health Group needs.

Skills

Billing experience

Insurance verification

Education

2 year college program or equivalent experience

Finance, Business, or related field

Job description

Employment Type: Full time Shift: Day Shift Description: At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.
MercyOne Dyersville Medical Center is a 20-bed critical access hospital serving 17 rural communities in western Dubuque County, offering the following services: Emergency/Trauma, Acute and Skilled Care, Rehabilitation Services (PT/OT/Speech), Ambulatory Surgery, Home Care, and Specialty Clinics. MercyOne is committed to providing quality, personalized and safe health care close to home.

Join the MercyOne Family! We are looking to hire a Insurance Advisor!

Under the general direction of the Clinic Manager, serves as an assistant to the physicians and other support staff members. Provides support services and coordination of clerical functions to the department, including secretarial, clerical and reception tasks. Responsible for obtaining and documenting pre-certification of pre-authorized insurance requests for Clinic services and procedures. Responsible for obtaining authorizations, when required, for referrals for other services. Will interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification 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 Health Group needs. Serves as primary contact for clinical physicians, physician's billing office, and Genesis Health Group support departments.

Schedule

• full-time 40 hours

Education

• 2 year college program or equivalent experience

Field of Study

• Finance, Business, or related field

Special Training

• Word processing and other Windows-based computer applications, experience in billing, insurance verification, customer service & front desk registration.

Colleagues of MercyOne Health System enjoy c ompetitive compensation with a full benefits package and opportunity for growth throughout the system !

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care .

Want to learn more about MercyOne Genesis? Click here: MercyOne Genesis | Stronger. Together. As One!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.