Full employer posting
Beacon Health System is hiring a full-time day shift Insurance Specialist position for our Verification of Benefits department at Beacon Health System in Granger, IN . Be a Beacon. Make a Difference.
At Beacon Health System, you’re not just part of a team, you’re part of something bigger. Every patient interaction is a chance to lead with compassion, build trust, and create lasting impact. Here, your expertise supports healing, and your heart connects us to the communities we serve.
We offer a wide variety of benefits for our employees, including: Medical, Dental, & Vision Insurance through Cigna Life Insurance 403(b) Matching Retirement Fund Competitive Paid Time Off (PTO) Shift Differentials Employee Assistance Program (EAP) Tuition and Certification Reimbursement Clinical Ladder Program Local and National Discounts Beacon Academy Educational Courses Gym Membership Discount About Beacon Health System Headquartered in South Bend, Indiana, as a not-for-profit, community-governed health system, Beacon Health System provides care to more than 4,000 patients each day in northern Indiana and southern Michigan.
What You’ll Do As an Insurance Specialist, you'll report to the Director, Manager, or Supervisor and support the department by reviewing patient records using medical coding procedures. You will assist in educating patients regarding their insurance. You will coordinate daily administrative activities and patient support functions within the department while ensuring accurate and appropriate documentation is maintained.
In addition, you will facilitate communication between patients, staff, and other stakeholders and serve as a resource for insurance-related questions and processes. Insurance Specialist
Answer patient, provider, and staff questions regarding insurance-related issues. Provide accurate documentation to insurance companies in a timely manner. Work closely with physicians and clinical staff to obtain prior authorizations for treatments, procedures, and medications.
Review insurance bulletins and updates to stay current on coding changes. Verify that treatments meet medical necessity requirements based on diagnoses provided by healthcare providers. Refer questionable diagnosis or coding issues to the Manager, Director, or Clinic Coordinator for clarification.
Audit billing records, as needed, to ensure appropriate documentation is in place for reimbursement. Educate physicians and staff on documentation requirements and communicate issues promptly to correct errors or omissions in the medical record. Collaborate with Patient Accounts to follow up on insurance appeals and denied claims.
Attend regular meetings to stay informed of insurance regulations, requirements, and updates. Build and maintain professional relationships with insurance company representatives to facilitate issue resolution. Maintain proficiency in the use of online insurance portals and related resources.
Process reports according to established schedules and as requested. Serve as the department's on-site insurance resource for physicians and staff. Act as a liaison between Patient Accounts, Medical Records, physicians, and department associates.
Assist the Director, Manager, Supervisor, and Clinic Coordinator with staff education and training on coding updates and changes. Communicate effectively with patients, employers, and third-party payers by telephone and in writing. Verify that charges exported from the department accurately match those uploaded into hospital and physician billing systems.
Perform other job-related duties and special projects as assigned. What You Bring As an Insurance Specialist , you'll bring knowledge of medical terminology, diagnosis and procedure coding, Medicare and Medicaid guidelines. Your analytical skills help you identify billing discrepancies, resolve insurance-related issues, and ensure accurate documentation.
You demonstrate strong communication and interpersonal skills when working with patients, guarantors, physicians, insurance representatives, and staff. You maintain professionalism and discretion when handling sensitive and confidential information and are able to effectively navigate challenging situations. You are detail-oriented, organized, and proficient in using electronic health records, coding software, databases, and other healthcare technology systems.
Your ability to balance accuracy, customer service, and problem-solving helps support efficient operations and a positive patient experience. Required Qualifications Successful completion of an associate's degree majoring in medical billing, medical coding, health informatics, health information technology or a related healthcare field certification. A minimum of 1 to 2 years of department specific work experience and/or insurance prior authorization and verification of benefits is required.
Must have computer experience and be able to keep accurate insurance records. #BHOther26
Day shift · 0830-5pm M-F
About the role
As an Insurance Specialist, you'll report to the Director, Manager, or Supervisor and support the department by reviewing patient records using medical coding procedures. You will assist in educating patients regarding their insurance. You will coordinate daily administrative activities and patient support functions within the department while ensuring accurate and appropriate documentation is maintained.