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Employment Type:

Full time

Shift:

Description:

Position Title: Insurance Advisor CPID:

Department: Genesis Health Group

Purpose: Under the general direction of the Clinic Manager, serves as an assistant to the physicians and

other support staff members. Provides support services and coordination of clerical functions to

the department, including secretarial, clerical and reception tasks. Responsible for obtaining and

documenting pre-certification of pre-authorized insurance requests for Clinic services and

procedures. Responsible for obtaining authorizations, when required, for referrals for other

services. Will interface between physicians, Genesis Health Group departments, and insurance

organizations regarding pre-certification issues. Initiate and follow up on appeals for denied

payments. Will ensure that all activities achieve high patient and customer satisfaction and that

pre-certification process meets physician, patient, and Genesis Health Group needs. Serves as

primary contact for clinical physicians, physician's billing office, and Genesis Health Group

Report To: Manager, Clinic

Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to

others. There is no formal responsibility for directing others.

Materials Responsibility: Moderate: Work requires moderate responsibility for material resources. Examples of

resources could include operating budgets for a work unit or department, specialized

equipment, costly or unusual materials or supplies, large amounts of cash or other

material assets. The employee has a moderate amount of control over these resources.

The cost of errors might result in moderate damage, waste or financial loss. The difficulty,

variety and depth of problems associated with these material resources is moderately

Key Relationships Co-workers/Health System Employees, Outside Agencies/Other Health Care

Providers, General Public/Visitors/Volunteers, Physicians/Medical Office Staff,

Students/Interns/Residents/Outside Instructors, Patients, Families, and

Significant Others, Third Party Payors/Insurance Companies, Attorneys

POSITION SPECIFICATIONS

Education: 2 year college program or equivalent experience

Field OF Study: Finance, Business, or related field

Special Training: Word processing and other Windows-based computer applications, experience in billing,

insurance verification, customer service & front desk registration.

Training Preferred: Medical Terminology, ICD-CM Coding, training/experience, experience in billing, accounts

receivable, insurance and pre-authorization verification.

Experience: More than 1 year experience required.

InterpersonalSkills: Interaction is with a variety of people. These may be fellow employees, customers, the

public or others outside the organization. Communications are of limited difficulty.

Interactions usually involve short, straightforward exchanges of information. The job

requires a limited amount of interpersonal skills. Interactions are non-stressful

encounters and dealing with uncomplicated problem situations.

Working Condition: There is limited exposure to moderately adverse and undesirable environmental

conditions. There are some health and safety risks. Position may require safety

equipment and precautions. The amount of time the employee may experience these

moderate conditions is limited to 10% or less of their work day.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran