Department: Consumer Division
Direct Report: Missy Conley, Director Consumer Division
Sec. Report(s): Jeanne Woodward, Vice President Consumer Division
Location: Roanoke, VA.
The Insurance Specialist is responsible in analyzing the explanation of benefit (EOB) and/or client claim submission sheet to determine reimbursement formula. The Insurance Specialist calculates the reimbursement formula, if applicable, for claims submitted including facility and professional claims. The Insurance Specialist completes the reimbursement documentation into the system for consideration throughout the review process.
DUTIES AND RESPONSIBILITIES
Specific duties include:
MINIMAL STANDARD REQUIREMENTS, SKILLS, AND ABILITIES
INTENT AND FUNCTION OF JOB DESCRIPTIONS
Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are also essential to an effective appraisal system and related promotion, transfer, layoff, and termination decisions. Well-constructed job descriptions are an integral part of any effective compensation system.
All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Management reserves the right to modify, add or remove essential functions as business needs warrant. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization.