Health Information Specialist - Genetics Section/Pediatrics
Job posting number: #7066350
Posted: May 20, 2020
Application Deadline: Open Until Filled
The West Virginia University Research Corporation is seeking applications for a Health Information Specialist in the Department of Pediatrics/Genetics Section.
In order to be successful in this position, the ideal candidate will:
Contact insurance companies to determine eligibility, benefits, and authorization for requested genetic testing. Provide all relevant clinical information, ICD-10 codes, and CPT codes to obtain necessity of prior-authorization and necessary paperwork to insurance and lab.
Document referrals/authorization/certification numbers in the registration/scheduling systems plus info in genetic spreadsheet.
Maintain current knowledge of major insurance policies, practices, and requirements regarding all relevant procedures.
Perform follow-up and assist with denial management issues through written communication, phone calls, or by facilitating peer-to-peer reviews between physicians.
Act as a liaison to medical testing and treatment representatives and work closely with them to make sure that Clinicians have all relevant information.
Receive incoming calls, email correspondence, ensure that accurate and timely communication is facilitated, and patient satisfaction is high.
Provide excellent and caring customer service to patients, visitors and employees
Schedule patient appointments in Merlin.
Provide back up to department secretary in her absence.
Participate in the continuing educational activities of the program by helping coordinate or presenting educational programs to groups as outlined by supervisor.
Perform other duties as assigned.
Associate's Degree in an allied health field;
Three (3) years of experience in medical coding and insurance;
Or an equivalent combination of education and experience.
Knowledge of ICD-10 and CPT coding requirements.
Knowledge of genetic testing.
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of principles and processes for providing customer and personal services.
Skilled at using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Skilled at talking to others to convey information effectively.
Skilled at communicating effectively in writing as appropriate for the needs of the audience.
Ability to apply general rules to specific problems to produce answers that make sense.
Ability to listen to and understand information and ideas presented through spoken words and sentences.
About Research Corporation
West Virginia University Research Corporation is proud to be an Equal Opportunity employer. West Virginia University Research Corporation values diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.