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Insurance Specialist
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Full-time
- Insurance Specialist is responsible for assuring all appointments and procedures are authorized.
- West Virginia state criminal background check required, and Federal, if applicable, for DHHR BMS regulated area.
- Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department
- Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed
- Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information.
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