United Hospital Center · 11 hours ago
Clinical Admin Assist
Bridgeport, WV
Full-time
Onsite
New Grad, Entry LevelUnited Hospital Center is seeking a Clinical Admin Assist to ensure all appointments and procedures are authorized. The role involves verifying insurance coverage, pre-authorizing tests, and minimizing reimbursement errors through accurate documentation and communication with patients and insurance providers.
Emergency MedicineFertilityHealth CareHospital
Responsibilities
Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department
Follows up on accounts as indicated by system flags
Contacts insurance company or employer to determine eligibility and benefits for requested services
Follows up with the patient, insurance company or provider if there are insurance coverage issues in order to obtain financial resolution
Use work queues within the EPIC system for scheduling, transition of care, and billing edits
Performs medical necessity screening as required by third party payors
Documents referrals/authorization/certification numbers in the EPIC system
Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions
Communicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility
Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed
Communicates problems hindering workflow to management in a timely manner
Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information. Maintains current knowledge of major payor payment provisions
Qualification
Required
High school diploma or equivalent
State criminal background check and Federal (if applicable), as required for regulated areas
Excellent oral and written communication skills
Basic knowledge of medical terminology
Basic knowledge of ICD-10 and CPT coding, third party payors, and business math
General knowledge of time of service collection procedures
Excellent customer service and telephone etiquette
Minimum typing speed of 25 works per minute
Must have reading and comprehension ability
Preferred
Previous insurance authorization experience
Company
United Hospital Center
United Hospital Center provides general surgery, nephrology, obstetrics, and gynecology services.
Founded in 1970
1001-5000 employees
H1B Sponsorship
United Hospital Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (4)
2023 (6)
2022 (9)
2021 (2)
2020 (10)
Funding
Current Stage
Late StageLeadership Team
Emerson T Que, MD
Founder
Jessica Julian
Human Resources Business Partner
Company data provided by crunchbase