Insurance Processing Associate

Shift:

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.


Required Qualifications:

* High school education or equivalent required.

* 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.

* Multi-tasking and problem solving abilities required.

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

* Strong verbal and written communication skills required.

* Strong organizational skills with aptitude for detail oriented work required.

* Ability to type a minimum of 30 words per minute with 90% accuracy required.


Preferred Qualifications:

* Prior experience in an insurance or medical office environment preferred.

* Associate's degree in business administration or college level business coursework preferred.
* Certified coder 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.

* 9005ICAL terminology preferred.