Insurance Advisor - Orthopedic Work Comp - Full Time

Trinity Health Corp.; Crow Valley (KY); On-site; USD 40,000 - 56,000; Full time

Job summary

Genesis Health Group seeks an administrative assistant to support physicians and staff with clerical duties, billing, and front-desk tasks. You will coordinate pre-certifications and authorizations for clinic services, interfacing with physicians, departments, and insurers to resolve issues.

Under the Clinic Manager, you will process referrals, appeals for denied payments, and strive to maintain high patient and customer satisfaction while ensuring pre-certification processes meet needs.

Qualifications

• 2 year college program or equivalent experience in Finance, Business, or related field
• Experience in billing, insurance verification, customer service, and front desk registration
• Medical terminology and ICD-CM coding experience helpful

Responsibilities

• Assist physicians and support staff with clerical tasks
• Obtain and document pre-certification for insurance requests
• Obtain authorizations for referrals when required
• Interface with physicians, departments, and insurers regarding pre-certification issues
• Initiate and follow up on appeals for denied payments
• Ensure high patient and customer satisfaction and effective pre-certification processes
• Serve as primary contact for clinical physicians and billing office

Skills

Billing & insurance verification

Customer service

Front desk registration

Word processing & Windows apps

Education

2 year college program or related field

Tools

MS Word/Windows apps

Job description

Employment Type

Full time

Shift

Day Shift

Description

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

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

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.