Insurance Specialist | 40 hours per week | Care Continuum

Minimum Hiring Wage:

From $18.89 per hour

Job Details:

Manages insurance authorizations ensuring timeliness and accuracy for inpatients and/or Emergency Department outpatients needing placement in long term care facilities for skilled care, intermediate level of care and/or inpatient rehabilitation. Insurance Authorization Specialist is responsible for verifying insurance coverage, obtaining pre-authorizations, and maintaining detailed records to facilitate smooth billing processes and timely approvals. This role requires meticulous attention to detail and adherence to industry standards.

A Brief Overview

Manages insurance authorizations ensuring timeliness and accuracy for inpatients and/or Emergency Department outpatients needing placement in long term care facilities for skilled care, intermediate level of care and/or inpatient rehabilitation. Insurance Authorization Specialist is responsible for verifying insurance coverage, obtaining pre-authorizations, and maintaining detailed records to facilitate smooth billing processes and timely approvals. This role requires meticulous attention to detail and adherence to industry standards.

What you will do

• Verify insurance coverage and benefits for patient placement and services
• Obtain prior authorizations and pre-certifications from insurance companies for post acute care placement.
• Maintain detailed and accurate patient insurance records and demographics
• Coordinate with healthcare providers to gather necessary documentation
• Communicate coverage details with the interdisciplinary team.
• Stay updated with insurance guidelines and policy changes
• Communication and collaboration to assist with patient durable medical equipment needs at discharge.

Qualifications

• Associate’s Degree (AA) Healthcare Administration or related field Preferred
• H.S. Diploma or General Education Degree (GED) Basic education Preferred
• 1-3 years Experience in insurance authorization or medical billing Preferred
• Communication
• Customer Focus
• Detail Oriented
• Computer Literacy with Microsoft office and technology
• Knowledge of Medical Terminology
• Problem-Solving
• Time Management
• Administrative Support
• Data Entry
• Decision Making

Scheduled Hours: Days, weekend and holiday rotation.

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

• Competitive base pay

• Matching retirement programs

• Health, Dental and Vision plans

• Health Savings and Flexible Spending Accounts

• Employee discounts including car rental, cell-phone plans

• Employer-paid, Long-Term Disability, Life, and AD&D

• Paid time off (PTO)

• Education Assistance Program

• Employee Assistance Program

• Employee Referral Bonus Program

• Discounted cafeteria meals

• Paid Parental Leave

• Employee Service Recognition program  

• Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

 

Great River Health and its affiliates are Equal Opportunity employers.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.