Insurance Advisor - Orthopedic Work Comp - Full Time

IA_MOQUAD01 Genesis Health System; Crow Valley (KY); On-site; USD 40,000 - 48,000; Full time

Benefits offered by this job

Full benefits package

Job summary

Trinity Health is seeking a clinic assistant to support physicians and staff, coordinating clerical tasks and front desk registration. You will handle pre-certification verification, obtain authorizations for referrals, and liaise with insurance companies to resolve issues.

This role focuses on accuracy and patient satisfaction within MercyOne Health System’s care circle. Ideal candidates have 2 years of college or related finance/business experience, with billing, ICD-CM coding, and strong

Qualifications

• 2 year college program or equivalent experience in Finance, Business, or related field.
• Experience in billing, insurance verification, customer service & front desk registration.
• Medical Terminology and ICD-CM Coding training/experience.
• More than 1 year experience required.

Responsibilities

• Assist physicians and support staff; coordinate clerical functions.
• Obtain and document pre-certification of pre-authorized insurance requests for Clinic services and procedures.
• Obtain authorizations for referrals when required; interface with physicians, Genesis Health Group departments, and insurance organizations.
• Initiate and follow up on appeals for denied payments.

Skills

Billing

Insurance verification

Customer service

Front desk registration

Medical Terminology

ICD-CM Coding

Education

2 year college program or equivalent experience in Finance/Business

Tools

Word processing

Windows-based applications

Job description

Employment Type: Full time

Shift: Day Shift

Description: Position Purpose: 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 pre-certification 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

Minimum Requirements

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. Medical Terminology, ICD-CM Coding, training/experience, experience in billing, accounts receivable, insurance and pre-authorization verification. More than 1 year experience required

Benefits

• Colleagues of MercyOne Health System enjoy competitive 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’s circle of care.

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.