Insurance Specialist

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing.

Summary:

Responsible for the timely verification of medical insurance benefits: calling private insurance companies, Medicare, and Medicaid to obtain benefit information, determining insurance compatibility with health-care provider programs, coordinating with patients regarding their insurance benefits and medical providers programs, re-verifying existing patient insurance coverage, and determining if an insurance benefit plan considers selected products appropriate based on patient need. Representative will obtain pre-certification or authorization for procedures, verify insurance for both admissions and pre-admissions, specified procedures and day surgeries, and alert the financial department about uninsured or underinsured patients.

Responsibilities:

• Insurance Verification
  
• Authorizations
  
• Customer Service
  
• Participates in quality improvement activities.
  
• Performs miscellaneous duties, as needed, to support operations and the provision of services.

Other information:

• High school graduate or GED.
  
• Formal business education course work with emphasis on insurance, CPT coding and ICD-9 applications preferred
  
• 1-3 Healthcare/Medical - Admissions or related experience
  
• 1 Healthcare/Medical - Admissions setting experience
• 1-3 years experience performing insurance verification or one year experience working with medical billing procedures or medical insurance programs preferred.

Legal Employer: Nash Hospitals

Entity: Nash UNC Health Care

Organization Unit: NGH Registration Discharge

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type:

Work Schedule: Day Job

Location of Job: NASH HC

Exempt From Overtime: Exempt: No