Health Underwriter, Sr. jobs in Anderson, SC

Health Underwriter, Sr. reviews applications for coverage, gathers data and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Being a Health Underwriter, Sr. performs group and/or individual underwriting. Requires a bachelor's degree. Additionally, Health Underwriter, Sr. typically reports to supervisor or manager. The Health Underwriter, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Health Underwriter, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

Recently Added Health Underwriter, Sr. jobs

Clinic Office Specialist Sr, FT, Days

Prisma Health
Greenville, SC FULL_TIME
Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for patient registration, precertification, charge capture and coding diagnoses given by physicians. Receives and interviews patients to collects and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Responsible for posting all payments and balancing with the computer reports at day end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Works queques, when appropriate gathers charge information, codes, enters into EHR, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third party payers. Can assume decision making responsibilities as directed by manager. Requires a high level of public contact and excellent interpersonal skills. Performs all assigned duties in a courteous and professional manner. May perform business office and clinic office coordinator functions if needed as directed by the manager.
Accountabilities
* PATIENT ACCOUNTING/REGISTRATION/SCHEDULING:
Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information.\u00A0 Enters accurate information into computer database, accesses appropriate systems to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines.\u00A0 Follows up for incomplete and missing information.
1. Serves as a liaison between patient and medical support staff.
2. Greets patients and visitors in a prompt, courteous, and helpful manner.
3. Checks in patients, verifies and updates necessary insurance information in the patient accounting system (on line Registration).
4. Obtains signatures on all forms and documents as required.
5. Maintains office schedule and follows office scheduling policies.
6. Provides front office phone support as needed and outlined through cross training program.
7. Screens visitors and responds to routine requests for information.
8. Responsible for working work queue's to completion. i.e. registration, charges, referrals, etc.
9. Processes vouchers and private payments, to include updating registration screens based on information on checks.
10. Helps to process mail return statements and outgoing statements.
11. Reconciles and acquires, when needed, billing information for all doctors for all patients seen in practice.
12. Performs cashiering functions including monitoring and balancing cash drawer daily.\u00A0 Prepares daily cash deposits. Receives payments from patients and issues receipts.\u00A0 Codes and posts payments and maintains required records, reports and files.
13. Works with patients in securing prepayment sources or financial agreements prior to providing service.
14. Participates with other staff to achieve account resolution.\u00A0 Assists with outpatient coding and error resolution.
15. Processes edits\u00A0and Collection Request for resolution within specified time frames.
16. Identify trends and communicates problems to management.
17. Updates patient account database.
18. Maintains and updates current information on physician's schedules.
19. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.
20. Assembles patients records and forms for next day visit.\u00A0 Updates profiles on all patients, ensuring completeness and accuracy.
21. Prepares and distributes appropriate reports, documents, and patient identification items as required.\u00A0 This includes but is not limited to, GHS Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, schedules, productivity logs, monthly collection reports, etc.\u00A0 35%
* BILLING
1. Researches all information needed to complete outpatient billing process including getting charge information from physicians.
2. Codes information about procedures performed and diagnosis on charge.
3. Keys charge information into on-line entry program.
4. Processes and distributes copies of documents according to clinic policies.
5. Assists with outpatient coding and error resolution.
6. Reviews patient records for scheduled appointments in advance.
7. Delivers, transports, sorts and files returned charts.
8. Picks up lab reports, dictations, correspondence, etc.
9. Scans appropriate information into the EHR.
10. Destroys outdated records following established procedures for retention and destruction.
11. Works with medical assistants and other staff to route patients and records to proper location.
12. Follows related EHR policies and procedures.\u00A0 15%
* INSURANCE:
1. Assists patients with questions regarding insurance claims, their accounts, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc.
2. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.
3. Assists patients in completing all necessary forms to obtain hospitalization or Surgical precertification from insurance companies, including waivers for cases where pre-certification is required but not yet obtained.
4. Follows-up with insurance companies ensuring that coverage is approved.
5. Posts all actions and maintains permanent record of patient accounts.
6. Confirms all workers' compensation claims with employees.
7. Prepares disability claims in a timely manner.
8. Follows-up with insurance companies ensuring that claims are paid as directed.\u00A0 25%
* COLLECTIONS:
1. Collects payments at time of service for daily outpatient visit services.
2. Evaluates patient financial status and establishes budget payment plans.
3. Identifies and resolves patient billing complaints.
4. Participates with other staff to follow up on accounts until zero balance, or turned over to collection.\u00A0 15%
* DATA ENTRY:
1. Gathers and verifies information for specified practice on a daily basis.
2.Enters all same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.
3. Prints daily reports, verifying charge balancing at day end.
4. Complete work queue's on daily basis.
5. Registers new patients after verifying patient status on computer inquiry.\u00A0 Updates financial information as indicated.\u00A0 10%
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
Minimum Education
High School diploma or equivalent
Minimum Experience
2 years'- Experience in billing, bookkeeping, scheduling and/or office procedure experience with medical insurance in a physician practice, hospital or medical insurance processing work environment.\u00A0
In lieu of the Above Minimum Requirements
Bachelor's degree in Healthcare or Business and 1 year experience will be acceptable.
Other Required Experience
Associate Degree in a technical specialty program of 18 months minimum in length- Preferred
Multi- specialty group practice setting experience- Preferred
Intermediate ICD-9 and CPT coding abilities- Preferred
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
1046 Patewood Hospital
Department
10457822 Surgery-Vascular-IVH
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for patient registration, precertification, charge capture and coding diagnoses given by physicians. Receives and interviews patients to collects and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Responsible for posting all payments and balancing with the computer reports at day end. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Works queques, when appropriate gathers charge information, codes, enters into EHR, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third party payers. Can assume decision making responsibilities as directed by manager. Requires a high level of public contact and excellent interpersonal skills. Performs all assigned duties in a courteous and professional manner. May perform business office and clinic office coordinator functions if needed as directed by the manager.
Accountabilities
* PATIENT ACCOUNTING/REGISTRATION/SCHEDULING:
Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information.\u00A0 Enters accurate information into computer database, accesses appropriate systems to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines.\u00A0 Follows up for incomplete and missing information.
1. Serves as a liaison between patient and medical support staff.
2. Greets patients and visitors in a prompt, courteous, and helpful manner.
3. Checks in patients, verifies and updates necessary insurance information in the patient accounting system (on line Registration).
4. Obtains signatures on all forms and documents as required.
5. Maintains office schedule and follows office scheduling policies.
6. Provides front office phone support as needed and outlined through cross training program.
7. Screens visitors and responds to routine requests for information.
8. Responsible for working work queue's to completion. i.e. registration, charges, referrals, etc.
9. Processes vouchers and private payments, to include updating registration screens based on information on checks.
10. Helps to process mail return statements and outgoing statements.
11. Reconciles and acquires, when needed, billing information for all doctors for all patients seen in practice.
12. Performs cashiering functions including monitoring and balancing cash drawer daily.\u00A0 Prepares daily cash deposits. Receives payments from patients and issues receipts.\u00A0 Codes and posts payments and maintains required records, reports and files.
13. Works with patients in securing prepayment sources or financial agreements prior to providing service.
14. Participates with other staff to achieve account resolution.\u00A0 Assists with outpatient coding and error resolution.
15. Processes edits\u00A0and Collection Request for resolution within specified time frames.
16. Identify trends and communicates problems to management.
17. Updates patient account database.
18. Maintains and updates current information on physician's schedules.
19. Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.
20. Assembles patients records and forms for next day visit.\u00A0 Updates profiles on all patients, ensuring completeness and accuracy.
21. Prepares and distributes appropriate reports, documents, and patient identification items as required.\u00A0 This includes but is not limited to, GHS Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, schedules, productivity logs, monthly collection reports, etc.\u00A0 35%
* BILLING
1. Researches all information needed to complete outpatient billing process including getting charge information from physicians.
2. Codes information about procedures performed and diagnosis on charge.
3. Keys charge information into on-line entry program.
4. Processes and distributes copies of documents according to clinic policies.
5. Assists with outpatient coding and error resolution.
6. Reviews patient records for scheduled appointments in advance.
7. Delivers, transports, sorts and files returned charts.
8. Picks up lab reports, dictations, correspondence, etc.
9. Scans appropriate information into the EHR.
10. Destroys outdated records following established procedures for retention and destruction.
11. Works with medical assistants and other staff to route patients and records to proper location.
12. Follows related EHR policies and procedures.\u00A0 15%
* INSURANCE:
1. Assists patients with questions regarding insurance claims, their accounts, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc.
2. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.
3. Assists patients in completing all necessary forms to obtain hospitalization or Surgical precertification from insurance companies, including waivers for cases where pre-certification is required but not yet obtained.
4. Follows-up with insurance companies ensuring that coverage is approved.
5. Posts all actions and maintains permanent record of patient accounts.
6. Confirms all workers' compensation claims with employees.
7. Prepares disability claims in a timely manner.
8. Follows-up with insurance companies ensuring that claims are paid as directed.\u00A0 25%
* COLLECTIONS:
1. Collects payments at time of service for daily outpatient visit services.
2. Evaluates patient financial status and establishes budget payment plans.
3. Identifies and resolves patient billing complaints.
4. Participates with other staff to follow up on accounts until zero balance, or turned over to collection.\u00A0 15%
* DATA ENTRY:
1. Gathers and verifies information for specified practice on a daily basis.
2.Enters all same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.
3. Prints daily reports, verifying charge balancing at day end.
4. Complete work queue's on daily basis.
5. Registers new patients after verifying patient status on computer inquiry.\u00A0 Updates financial information as indicated.\u00A0 10%
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0\u00A0
Minimum Education
High School diploma or equivalent
Minimum Experience
2 years'- Experience in billing, bookkeeping, scheduling and/or office procedure experience with medical insurance in a physician practice, hospital or medical insurance processing work environment.\u00A0
In lieu of the Above Minimum Requirements
Bachelor's degree in Healthcare or Business and 1 year experience will be acceptable.
Other Required Experience
Associate Degree in a technical specialty program of 18 months minimum in length- Preferred
Multi- specialty group practice setting experience- Preferred
Intermediate ICD-9 and CPT coding abilities- Preferred
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
1046 Patewood Hospital
Department
10457822 Surgery-Vascular-IVH
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
3 Days Ago

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Senior Government Mortgage Underwriter

UNITED COMMUNITY BANK
Greenville, SC FULL_TIME
Job Title: Senior Government Mortgage Underwriter Reports to: Group Leader or Mortgage Loan CRA & Government Manager Direct Reports: N/ASalary Grade: 10 SUMMARYThis position is responsible for underwr...
23 Days Ago

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Sr. Planner

Omron Automation
Greer, SC FULL_TIME
Work at OMRON! Omron is a leading global manufacturer of industrial automation products focused on sensing and control technologies. Omron Automation has locations in Greer, SC, Renton, WA, Chatsworth...
1 Month Ago

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Health Coach

Your Health Organization
Anderson, SC FULL_TIME
GENERAL DESCRIPTION The Health Coach plays a crucial role ensuing the seamless coordinator of patient care. This position involves proficient chart preparation, communication, scheduling of patient vi...
4 Days Ago

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Home Health Aide

Partnership For Health
Anderson, SC PART_TIME
Looking for Home health aide around Greer, SC **You must have your own transportation** ***Once you apply to any of our caregiving positions, you are automatically eligible for other postings within o...
6 Days Ago

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Home Health Aide

Partnership For Health
Greer, SC PART_TIME
Looking for Home health aide around Greer, SC **You must have your own transportation** ***Once you apply to any of our caregiving positions, you are automatically eligible for other postings within o...
7 Days Ago

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Government Guarantee SBA Portfolio Manager

Svi Recruiting Group
Greenville, SC
Government Guarantee / SBA Loan Portfolio ManagerRole SummaryThis position will handle all aspects of portfolio manageme...
4/24/2024 12:00:00 AM

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Licensed Life and Health Agent; Part and Full Time; Remote

North Agency- The Leazer Group an Integrity Partner
Greenville, SC
Job Description Job Description Are you a Life or Health Insurance Agent who has yet to master virtual sales? Or perhaps...
4/23/2024 12:00:00 AM

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Work from Home-Mortgage Protection Insurance Agents

Shonda Crawford Insurance
Clemson, SC
Crawford Agency needs the right agents to help our growing clientele build an asset and not a liability. Our agents part...
4/22/2024 12:00:00 AM

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AAA - Insurance Agency Owner

AAA - Auto Club Group
Simpsonville, SC
Job Description Job Description Join us in doing what’s right for our members. AAA is continuing expansion efforts by in...
4/22/2024 12:00:00 AM

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Work from Home-Mortgage Protection Insurance Agents

Shonda Crawford Insurance
Clemson, SC
Crawford Agency needs the right agents to help our growing clientele build an asset and not a liability. Our agents part...
4/22/2024 12:00:00 AM

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Life Insurance Sales Agent

The Diaz Agency
Clemson, SC
Looking for entry level and experienced professionals who appreciate a cutting-edge company with the desire to work for ...
4/22/2024 12:00:00 AM

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Compliance Manager

UST Logistics
Greenville, SC
JOB TITLE: Compliance Manager REPORT: Director of Compliance LOCATION: HQ-Greenville, SC DIVISION: UST-Corporate UST Ove...
4/21/2024 12:00:00 AM

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Personal Lines Account Executive

World Insurance Associates LLC
Anderson, SC
Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
4/20/2024 12:00:00 AM

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About Anderson, South Carolina

Anderson is a city in and the county seat of Anderson County, South Carolina, United States. The population was 26,686 at the 2010 census, and the city was the center of an urbanized area of 75,702. It is one of the principal cities in the Greenville-Anderson--Mauldin Metropolitan Statistical Area, which had a population of 824,112 at the 2010 census. It is further included in the larger Greenville-Spartanburg-Anderson, South Carolina Combined Statistical Area, with a total population of 1,266,995, at the 2010 census. Anderson is just off Interstate 85 and is 120 miles (190 km) from Atlanta an...

Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia

Income Estimation for Health Underwriter, Sr. jobs

$79,407 to $99,705

Anderson, South Carolina area prices
were up 1.5% from a year ago

View detail