Insurance Advisor - Orthopedic Work Comp - Full Time

Trinity Health Corp.; Pleasant Valley Township (IA); On-site; USD 25,000 - 39,000; Full time

Job summary

MercyOne Health System is seeking an experienced clerical assistant to support physicians and clinical staff. You will handle pre-certification, authorizations for referrals, and interface with insurance organizations and Genesis Health Group to resolve issues.

This role emphasizes accuracy, customer service, and collaboration with the billing office and clinicians to ensure timely payments and high patient satisfaction.

Qualifications

• 2-year college program or equivalent experience in finance, business, or related field.
• Experience with word processing, Windows-based applications, billing, insurance verification, customer service and front desk registration.
• Medical terminology, ICD-CM coding; training/experience in billing, accounts receivable, insurance and pre-authorization verification.
• More than 1 year experience required.

Responsibilities

• Provide support services and coordination of clerical functions to the department, including secretarial, clerical and reception tasks.
• Obtain 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 pre-certification 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.

Skills

Billing

Insurance verification

Customer service

Front desk registration

Word processing

Education

2-year college program or equivalent experience

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

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.