Insurance Specialist Remote; Michigan Residents

Insurance Specialist – Full Time, Remote (Michigan Residents) Responsibilities

Under general supervision, identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for patients receiving care HFHS. Accountable and responsible for all pre‑admissions, admissions, and specified scheduled outpatient services rendered estigates and reviews the accuracy and completeness of insurance information upon pre‑admission and/or admission to ensure account is secure prior to discharge.

Obtains benefit, co‑pay, deductible, and co‑insurance information. Verifies insurance eligibility and benefit information and confirms that all insurance requirements are met, including but not limited to referrals and authorizations. Resolves problem accounts to determine primary insurance and/or COB information.

• High school diploma or GED equivalent is required.
• Two (2) years of experience related to healthcare insurance eligibility, insurance verification or insurance billing in a hospital/medical office setting.
• Knowledge of various insurance coverage, COB rules of priority and processing procedures.
• Insurance payor systems experience required.
• EPIC training/experience preferred. ICD‑10 medical terminology experience preferred.
• Ability to adjust to new technologies as introduced.
• Strong computer skills and working knowledge of Microsoft Office products.
• Ability to perform a variety of tasks in a fast‑paced environment with frequent interruptions.

• Organization:
  Corporate Services
• Department:
  Insurance Verification
• Shift: Day Job
• Union Code:
  Not Applicable

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job‑related duties beyond those explicitly described above.

The health and overall well‑being of our team members is our priority. That’s why we offer support in the various components of our team’s well‑being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer‑driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more.

Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity / Affluent Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.