Insurance Specialist / Full Time / Days

Wood County Hospital Assn; Bowling Green (OH); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/ AD&D

403(b) with employer match

Pension plan

Vacation and holidays

Tuition reimbursement

Job summary

Wood County Hospital seeks an Insurance Specialist to ensure accurate EMR documentation and proper coding to support compliant reimbursement. The role requires onsite presence and teamwork with clinicians and staff to maintain high-quality patient care.

You will review records, coordinate with insurance processes, and help optimize documentation practices within a culture of safety and collaboration.

Qualifications

• Review electronic medical records to verify diagnoses and procedures.
• Ensure completeness and accuracy of required clinical documentation.
• Maintain patient confidentiality and comply with regulations.

Responsibilities

• Review EMR to ensure documentation supports care provided.
• Schedule Radiation Oncology appointments and manage imaging, simulations, and follow-ups.
• Obtain and verify patient insurance information and pre-authorizations.
• Collaborate with patients, families, physicians and staff to support quality care.

Skills

EMR review

Medical coding

Regulatory compliance

Team collaboration

Education

High School Diploma or GED

Job description

Elevate your career at Wood County Hospital, where you're not just a number – you're a vital part of a team making a real difference.Insurance Specialist / Full Time / DaysThe Insurance Specialist is responsible for ensuring the accuracy, completeness, and integrity of electronic medical records through comprehensive review, verification, and coding of clinical documentation. This role supports high-quality patient care, regulatory compliance, and appropriate reimbursement by validating diagnoses, procedures, and required documentation, managing insurance-related processes, and maintaining departmental quality programs. Through diligent review and collaboration with healthcare providers and administrative teams, the position promotes effective documentation practices and continuous quality improvement. The Insurance Specialist is an onsite position.Essential FunctionsReview electronic medical records initiated by healthcare providers to ensure documentation supports diagnosis and treatment rendered.Schedule and manage Radiation Oncology appointments, including consultations, imaging, simulations, treatments, and follow-ups while monitoring schedules to prevent conflicts and address no-show appointments.Examine and validate all components of the medical record for completeness, authorized signatures, patient identification, and required clinical documentation.Obtain and manage patient insurance information, including pre-authorizations, claim edits, denials, and appropriate documentation follow-up.Communicate and collaborate effectively with patients, families, physicians, and staff by maintaining confidentiality, complying with regulatory requirements, supporting departmental operations, and promoting a positive, organized, team-oriented work environment.Prepare, prevent, protect and respond to support our culture of safety.Works hours per week in accordance with offer letter or per attributes of position at transfer request. May be expected to work longer hours as necessary.Other duties as assigned.RequirementsEducation: High School Diploma or GEDLicense: NoneExperience: NoneCertification: NonePreferredEducation: NoneLicense: NoneExperience: NoneCertification: NoneBenefit SummaryJoin our team, and you’ll have access to a cutting-edge facility with state of the art technology. You’ll also interact with some of the region's top notch healthcare professionals. You’ll find plenty of opportunities to grow and advance your career.We’ll also reward your hard work with:· Great health, dental and vision plans· Competitive wages· Prescription drug coverage· Flexible spending accounts· Life insurance w/AD&D· Generous short term and long term disability plans· Employer-matched 403(b)· Employer sponsored cash balance pension plan· Vacation and Holiday time· Generous tuition reimbursement· And a lot more!