Insurance Specialist

2 weeks ago


Rocky Mount, United States UNC Health Care Full time
Job Description

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.


Job Details

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


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