Insurance Specialist

Elevate your career at Wood County Hospital, where you're not just a number – you're a vital part of a team making a real difference.

Insurance Specialist / Full Time / Days The Insurance Specialist is responsible for ensuring the accuracy, completeness, and integrity of electronic medical records through comprehensive review, verification, and coding of clinical documentation. This role supports high-quality patient care, regulatory compliance, and appropriate reimbursement by validating diagnoses, procedures, and required documentation, managing insurance-related processes, and maintaining departmental quality programs. Through diligent review and collaboration with healthcare providers and administrative teams, the position promotes effective documentation practices and continuous quality improvement.

The Insurance Specialist is an onsite position.

Essential Functions Review electronic medical records initiated by healthcare providers to ensure documentation supports diagnosis and treatment rendered.

Schedule and manage Radiation Oncology appointments, including consultations, imaging, simulations, treatments, and follow-ups while monitoring schedules to prevent conflicts and address no-show appointments.

Examine and validate all components of the medical record for completeness, authorized signatures, patient identification, and required clinical documentation.

Obtain and manage patient insurance information, including pre-authorizations, claim edits, denials, and appropriate documentation follow-up.

Communicate and collaborate effectively with patients, families, physicians, and staff by maintaining confidentiality, complying with regulatory requirements, supporting departmental operations, and promoting a positive, organized, team-oriented work environment.

Prepare, prevent, protect and respond to support our culture of safety.

Works hours per week in accordance with offer letter or per attributes of position at transfer request. May be expected to work longer hours as necessary.

Other duties as assigned.

Requirements

Education:

High School Diploma or GED License:
None

Experience:

None Certification:
None Preferred Education :
None License:
None

Experience:

None Certification:
None Benefit Summary Join our team, and you’ll have access to a cutting-edge facility with state of the art technology. You’ll also interact with some of the region's top notch healthcare professionals. You’ll find plenty of opportunities to grow and advance your career.

We’ll also reward your hard work with:
· Great health, dental and vision plans
· Competitive wages
· Prescription drug coverage
· Flexible spending accounts
· Life insurance w/AD&D
· Generous short term and long term disability plans
· Employer-matched 403(b)
· Employer sponsored cash balance pension plan
· Vacation and Holiday time
· Generous tuition reimbursement
· And a lot more!