Insurance Specialist

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Responsible for the timely verification of medical insurance benefits: calling private insurance companies, Medicare, and Medicaid to obtain benefit information, determining insurance compatibility with health-care provider programs, coordinating with patients regarding their insurance benefits and medical providers programs, re-verifying existing patient insurance coverage, and determining if an insurance benefit plan considers selected products appropriate based on patient need. Representative will obtain pre-certification or authorization for procedures, verify insurance for both admissions and pre-admissions, specified procedures and day surgeries, and alert the financial department about uninsured or underinsured patients.

Responsibilities:

• Insurance Verification
  
• Authorizations
  
• Customer Service
  
• Participates in quality improvement activities.
  
• Performs miscellaneous duties, as needed, to support operations and the provision of services.

Other information:

• High school graduate or GED.
  
• Formal business education course work with emphasis on insurance, CPT coding and ICD-9 applications preferred
  
• 1-3 Healthcare/Medical - Admissions or related experience
  
• 1 Healthcare/Medical - Admissions setting experience
• 1-3 years experience performing insurance verification or one year experience working with medical billing procedures or medical insurance programs preferred.
  

Legal Employer: Nash Hospitals

Entity: Nash UNC Health Care

Organization Unit: NGH Registration Discharge

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type:

Work Schedule: Day Job

Location of Job: NASH HC

Exempt From Overtime: Exempt: No