Insurance Verification & Pre-Auth Specialist

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

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.