Insurance Specialist
5 days ago
The Insurance Specialist at Trinity Health is responsible for processing incoming referrals and ensuring orders are processed efficiently and accurately.
They create and verify client account billings to third-party and private payers using software programs.
The position also involves compiling financial data to verify client fee sources and payment methods, and documenting payer source data and authorization activity in the online billing system.
Additionally, the Insurance Specialist provides assistance to the clinical customer service coordinator and THHS billing departments on special projects, audits, and monthly reporting.
They stay current with third-party insurance regulations and criteria, and effectively respond to clients, families, and staff regarding insurance questions and concerns.
The Insurance Specialist maintains a working knowledge of applicable laws and regulations, Trinity Health's Integrity Program, Code of Ethics, and other policies and procedures.
They assist in referral processing, insurance verifications, and client account insurance activity, and provide direction and assistance to site team staff on client insurance qualifications.
The Insurance Specialist audits authorizations for accuracy and determines if delay/deny policy needs to be invoked.
Trinity Health offers a competitive salary of $22 per hour plus $3 shift differential pay, and benefits including health, dental, and vision insurance, daily pay, short and long-term disability, and tuition reimbursement.
Requirements include a high school diploma or equivalent, two years of college experience preferred, knowledge of governmental reimbursement criteria, and computer literacy.
Experience with Agency's current software platforms is preferred, and a working knowledge of standard office equipment is required.
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