Insurance Specialist (MHO) at Beacon Health Systems in South Bend, Indiana

Job Description:

JOB SUMMARY

• Reports and works under the direction the department manager/supervisor. Reviews patient records using medical coding procedures. Verifies insurance eligibility and ensures the patients' healthcare benefits cover the required procedures. Assists in educating patients regarding insurance. Coordinates daily administrative activities within the department. Performs patient support functions for the supervisor/manager. Ensures that appropriate and accurate documentation is maintained. Facilitates communication and serves as a resource to staff and patients as appropriate.

• MISSION: We deliver outstanding care, inspire health, and connect with heart.


• VALUES: Trust. Respect. Integrity. Compassion.


• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

• Education and Experience
  • A health insurance specialists must have extensive knowledge of the latest alphanumeric codes used in medical billing, so post-secondary training is required. The knowledge, skills, and abilities as indicated above are normally acquired through the successful completion of an associate's degree majoring in medical billing, medical coding, health informatics, health information technology or a related healthcare field certification. A minimum of 1 to 2 years of Medical Oncology work experience and/or insurance prior authorization and verification of benefits is required. Must have computer experience and be able to keep accurate insurance records.
  
  


• Knowledge & Skills


• Demonstrates well developed interpersonal and communication skills, both verbal and written, necessary to interact effectively with a diverse group of people (patients, visitors, physicians, team members etc.) in a professional, courteous, friendly and sincere manner. Knowledgeable in Medicare and Medicaid guidelines.


• The knowledge of medical terminology in regards to procedure and diagnosis codes, policies, legislation, equipment and professional disciplines.


• Must be tactful in handling patient problems often of a highly personal and confidential nature.


• Must be able to maintain professionalism during frustrating interpersonal situations.


• Analytical skills are a must for health insurance specialists to check for any billing errors and make the necessary modifications.


• Detail-oriented with good organizational skills will help health insurance specialists file all essential insurance paperwork correctly.


• Health insurance specialists need the technical skills to work with electronic health records, coding software, email, and databases.


• Demonstrates knowledge of and a commitment to Beacon Health System's mission and values; and the organization's goal of providing exceptional patient experiences by following the Performance Essentials.
• Working Conditions


• Ability to adapt to change and close working conditions.


• Assigned hours within your shift, starting time, or days of work