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Insurance Specialist/Full Time/Remote

Remote: 
Full Remote
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Offer summary

Qualifications:

High school diploma or GED equivalent required., Two years of experience in healthcare insurance eligibility, verification, or billing., Knowledge of insurance coverage and COB rules is essential., Strong computer skills and familiarity with Microsoft Office products are necessary..

Key responsabilities:

  • Verify the accuracy and completeness of financial and insurance information for patients.
  • Investigate and review insurance details during pre-admissions and admissions.
  • Obtain and confirm benefit, co-pay, deductible, and co-insurance information.
  • Resolve issues related to primary insurance and COB information.

Henry Ford Health logo
Henry Ford Health XLarge https://www.henryford.com/
10001 Employees
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Job description

Under general supervision, identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for patients receiving care HFHS. Accountable and responsible for all pre-admissions, admissions, and specified scheduled outpatient services rendered at HFHS. Investigates and reviews the accuracy and completeness of insurance information upon pre-admission and/or admission to ensure account is secure prior to discharge. Obtains benefit, co-pay, deductible, and co-insurance information. Verifies insurance eligibility and benefit information and confirms that all insurance requirements are met, including but not limited to referrals and authorizations. Resolves problem accounts to determine primary insurance and/or COB information.

Education/Experience Required

  • High school diploma or GED equivalent is required.
  • Two (2) years of experience related to healthcare insurance eligibility, insurance verification or insurance billing in a hospital/medical office setting. Knowledge of various insurance coverage, COB rules of priority and processing procedures.
  • Insurance payor systems experience required.
  • EPIC training/experience preferred.
  • ICD-10 medical terminology experience preferred.
  • Ability to adjust to new technologies as introduced.
  • Strong computer skills and working knowledge of Microsoft Office products.
  • Ability to perform a variety of tasks in a fast-paced environment with frequent interruptions.

Additional Information

  • Organization: Corporate Services
  • Department: Insurance Verification
  • Shift: Day Job
  • Union Code: Not Applicable

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Office
  • Computer Literacy
  • Adaptability

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