Insurance Advisor - Orthopedic Work Comp - Full Time
Bettendorf, IAFull-timeSeen 3 days agoSeen in employer's feed 3 days ago
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Job overview
Under the Clinic Manager, the Insurance Advisor supports physicians and department staff with clerical coordination and patient-facing reception tasks. The role obtains and documents insurance pre-certifications and referral authorizations, communicates with physicians, clinic departments, and insurers about pre-certification issues, and follows up on denied-payment appeals. It also supports patient and customer satisfaction and the clinic’s authorization process.
Skills & qualifications
Skills
Qualifications
Full 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:
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2 year college program or equivalent experience - Finance, Business, or related field
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Word processing and other Windows-based computer applications, experience in billing, insurance verification, customer service & front desk registration.
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Medical Terminology, ICD-CM Coding, training/experience, experience in billing, accounts receivable, insurance and pre-authorization verification.
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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 (https://www.mercyone.org/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.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
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