Insurance Operations Lead: Pre-Auth & Billing Expert

Wvu-Medicin; Wheeling (WV); Vor Ort; USD 52.000 - 65.000; Vollzeit

Zusammenfassung

WH Wheeling Hospital Inc. is seeking a role that oversees insurance specialists and registration specialists to ensure appointments and procedures are properly authorized.

The position focuses on training staff, monitoring insurance updates, and coordinating with payors to determine eligibility and benefits. The incumbent handles pre-certification/authorization, follows up on accounts, and uses EPIC for scheduling, billing edits, and data entry while maintaining confidentiality and high service

Qualifikationen

• High school graduate or equivalent.

Aufgaben

• Oversees daily operations of all insurance specialists and registration specialists who work on all appointments and procedures being authorized.
• Training new and existing insurance specialists on insurance needs and processes in clinical offices.
• Identifies patients requiring pre-certification or pre-authorization and follows up on accounts as indicated by system flags.

Jobbeschreibung

WH Wheeling Hospital Inc. is seeking a role that oversees insurance specialists and registration specialists to ensure appointments and procedures are properly authorized.

The position focuses on training staff, monitoring insurance updates, and coordinating with payors to determine eligibility and benefits. The incumbent handles pre-certification/authorization, follows up on accounts, and uses EPIC for scheduling, billing edits, and data entry while maintaining confidentiality and high service