Insurance Advisor

Join the MercyOne Genesis Family!

About the role

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 precertification issues. Initiate and follow up on appeals for denied payments. Will ensure that all activities achieve high patient and customer satisfaction and that the 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 support departments.

Work requires moderate responsibility for material resources. Examples of resources could include operating budgets for a work unit or department, specialized equipment, costly or unusual materials or supplies, large amounts of cash or other material assets. The employee has a moderate amount of control over these resources. The cost of errors might result in moderate damage, waste, or financial loss. The difficulty, variety, and depth of problems associated with these material resources is moderately complex.

Responsibilities

• Obtain and document pre-certification of pre-authorized insurance requests for Clinic services and procedures.
• Obtain authorizations for referrals for other services when required.
• Interface between physicians, Genesis Health Group departments, and insurance organizations regarding precertification issues.
• Initiate and follow up on appeals for denied payments.
• Ensure high patient and customer satisfaction through all activities.
• Serve as primary contact for clinical physicians, physician's billing office, and Genesis Health Group support departments.

Requirements

• More than 1 year of experience required.
• Education: 2-year college program or equivalent experience.
• Field of Study: Finance, Business, or related field.
• Special Training: Word processing and other Windows-based computer applications, experience in billing, insurance verification, customer service, and front desk registration.

Qualifications

• Preferred training in Medical Terminology, ICD-CM Coding, experience in billing, accounts receivable, insurance, and pre-authorization verification.

Benefits

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system. Visit MercyOne Genesis Careers to learn more about the benefits, culture, and career development opportunities available.

Schedule

Full-time days.