Insurance Agency Professional

Serious Medicine is what we do. Shift:

First Shift (United States of America)

Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner. Verify eligibility and benefits related to insurance coverage including co-pay requirements, deductibles, out of pocket, life time maximums, and obtain authorization and referral requirements on defined organizational accounts. Complete pre-registration process for ambulatory clinics.

Minimum of two years post-secondary education with coursework in business, medical assistant program or nursing assistant program OR equivalent combination of education/experience in accounts receivable, health care billing or customer service (one year of education equals one year of experience) required.

Knowledge of computer based programs such as Microsoft Excel and Word required.

Prior experience in an insurance or medical office environment preferred.

• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (LCD) edits preferred.
• Knowledge of third party payer edits preferred.
• Working knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred.
• Knowledge of databases and flowcharting processes preferred.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.