Lead Insurance Specialist

Wheeling Hospital Professional Center 3lead

OtherLead

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Quick Summary

Key Responsibilities

The statements described here are intended to describe the general nature of work being performed by people assigned to this position.

Requirements Summary

EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent.

Technical Tools

OtherLead

About the Role

~1 min read

Oversees daily operations of all insurance specialists and registration specialists who work on all appointments and procedures being authorized. Responsible for training and keeping insurance staff up to date on all changes to insurance coverage. Updates and informs their manager/supervisor on any insurance updates and changes. The incumbent is responsible for assuring all appointments and procedures are authorized. Insurance carriers are contacted to verify coverage and benefit limitations. Tests and procedures are pre-authorized and scheduled. Deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection. Responsible for minimizing reimbursement errors resulting from inaccuracy of referral and enrollment information.

Requirements

~1 min read

1. High school graduate or equivalent.

Responsibilities

~1 min read

1. Excellent oral and written communication skills.

2. Basic knowledge of medical terminology.

3. Basic knowledge of ICD-10 and CPT coding.

4. Basic knowledge of third party payors.

5. Basic knowledge of business math.

6. General knowledge of time of service collection procedures.

7. Excellent customer service and telephone etiquette.

8. Minimum typing speed of 25 works per minute.

9. Must have reading and comprehension ability.

United States of America (Non-Exempt)

8082 WH Gastroenterology

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.