Title: Insurance Advisor Department: Corporate Health
FLSA Status: Reports to: Corporate Health Coordinator
Job Number: Approved/Revised Date: 11.13.19
About Wilmington Health
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.
Purpose
Ensures prompt collection of the appropriate amount due
Essential Duties/Responsibilities
Follow-up with carrier regarding outstanding claims as noted on the outstanding invoice report
File claims that require additional documentation
Verify benefits as requested by physician
Change insurance information as appropriate
Correspond to carrier for such things as appeals and or inquiries
Communicate all insurance regulation changes to supervisor
Contact patient and or carrier to follow-up on denials and termination of coverage
Respond to telephone calls; review and respond to correspondence
Process computer refunds due patients and insurance companies
Establish payment plans
Defines relationship issues and acts as advocate for referring providers and office staffs to cross-functionally resolve outstanding issues with WH and ensures that resolutions are satisfactory and referral process is satisfactory.
Works collaboratively with occupational health and corporate wellness to establish integrated strategic business plans to achieve corporate objectives for products and services.
Other Duties
As assigned by manager
Qualifications
Required:
High school diploma or general education degree (GED)
3-5 years' experience in a medical office environment
or equivalent combination of education and experience
Preferred
Experience in Medical Office Administration
Knowledge of the OSHA and DOT regulations
Experience with urine drug screen collection and breath alcohol tests processes
BLS/CPR Certified
Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information, or any other class protected under state or federal law.