Specialist, Insurance

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    "ExternalDescriptionStr": "<div style=\"font-style: normal; font-weight: 400;\"><p><strong>Who We Are</strong></p><p>People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Centerpoint Health - Georgetown is a 75-bed acute care hospital offering a broad range of inpatient, outpatient, intensive care, surgical, emergency, and diagnostic services. From bariatrics to women’s services to radiology, we proudly serve our community with comprehensive care.</p><p><strong>Where We Are</strong></p><p>Georgetown is a small-town bursting with charm in the heart of Kentucky Horse Country and is known as the true birthplace of bourbon. As Kentucky’s fastest-growing city, Georgetown offers something for everyone—from visiting thoroughbred champions to exploring a vibrant Victorian-era downtown filled with local shops, restaurants, craft breweries, and a bourbon distillery.</p><p><strong>Why Choose Us</strong></p><ul style=\"padding-left: 72px;\"><li>Health (Medical, Dental, Vision) and 401K benefits for full-time employees</li><li>Competitive Paid Time Off</li><li>Employee Assistance Program (mental, physical, and financial wellness support)</li><li>Tuition Reimbursement/Assistance for qualified applicants</li><li>Optional coverage: accident, critical illness, short- and long-term disability, and hospital indemnity insurance</li><li>Professional development opportunities</li><li>Free parking</li><li>And much more</li></ul><p>&nbsp;</p><p><strong>Position Summary</strong></p><p style=\"margin-bottom: 0in;\">The Insurance Coordinator is responsible for verifying insurance benefits, obtaining authorizations, and ensuring accurate documentation for bariatric procedures. This role focuses on timely and accurate insurance verification and authorization to support patient care and revenue cycle processes.</p><p>&nbsp;</p><p><strong>Essential Functions</strong></p><ul><li>Ensures all required pre-certifications for scheduled surgeries and procedures are obtained in a timely manner and documented prior to the appointment</li><li>Maintains frequent contact with insurance payers via phone and payer websites to meet verification and authorization requirements</li><li>Verifies active insurance coverage and obtains detailed benefit information using eligibility tools, payer portals, and phone systems</li><li>Communicates with insurance payers regarding CPT code discrepancies or updates when needed</li><li>Collects and submits required clinical information for authorization review as needed</li><li>Notifies appropriate staff when coverage cannot be verified for a scheduled procedure</li><li>Prepares and explains patient liability estimates for scheduled and add-on procedures</li><li>Contacts patients when insurance information is invalid or has been terminated</li><li>Performs registration-related functions as needed</li></ul><p>&nbsp;</p><p><strong>Required Skills</strong></p><ul><li>Strong critical thinking and decision-making skills</li><li>Ability to work independently with minimal supervision</li><li>Ability to manage multiple tasks in a fast-paced environment</li><li>Strong attention to detail and organizational skills</li><li>Effective communication skills when working with payers and patients</li><li>Working knowledge of managed care and third-party payers required</li></ul><p>&nbsp;</p><p><strong>Knowledge, Skills &amp; Abilities</strong></p><ul><li>Knowledge of insurance verification, authorization processes, and payer requirements</li><li>Understanding of medical terminology, CPT codes, and insurance eligibility systems</li><li>Ability to navigate payer portals and electronic medical record systems effectively</li><li>Strong customer service and interpersonal communication skills</li><li>Ability to maintain confidentiality and handle protected health information appropriately</li></ul><p>&nbsp;</p><p><strong>Education</strong></p><ul><li><p style=\"margin-bottom: 0in;\">High school diploma or equivalent required</p></li><li><p style=\"margin-bottom: 0in;\">Two years of college or completion of a medical office specialist program preferred</p></li></ul><p style=\"margin-bottom: 0in;\">&nbsp;</p><p style=\"margin-bottom: 0in;\"><strong>Department:&nbsp;</strong>Kentucky Bariatric Institute (KBI)<br><strong>Reports To:&nbsp;</strong>KBI Manager<br><strong>FLSA Status:&nbsp;</strong>Non-Exempt</p><p>&nbsp;</p><p><strong>Experience</strong></p><ul><li><p style=\"margin-bottom: 0in;\">At least one year of experience obtaining and verifying pre-certifications with multiple insurance companies required</p></li><li><p style=\"margin-bottom: 0in;\">Previous experience working with managed care and third-party payers required</p></li><li><p style=\"margin-bottom: 0in;\">Non-Essential Functions</p></li><li><p style=\"margin-bottom: 0in;\">Performs other duties as assigned</p></li><li><p style=\"margin-bottom: 0in;\">Additional Information</p></li><li><p style=\"margin-bottom: 0in;\">This position does not provide direct patient care</p></li><li><p style=\"margin-bottom: 0in;\">Access to protected health information may include demographic, clinical, insurance, financial, and complete medical records</p></li><li><p style=\"margin-bottom: 0in;\">Occupational exposure to bloodborne pathogens is present for all employees</p></li><li><p style=\"margin-bottom: 0in;\">Physical requirements are minimal and primarily involve desk-based work</p></li></ul><p>&nbsp;</p><p><strong>Schedule: Monday - Friday 8:00 AM- 4:30 PM</strong></p><p><strong>EEOC Statement:</strong></p><p><strong>Centerpoint health – Georgetown&nbsp;</strong>is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.</p><p>&nbsp;</p></div>",
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