Insurance Verification Specialist

KEY POINT HEALTH SERVICES INC.

ABERDEEN, MARYLAND

www.keypoint.org

DETAILS:

• Job Type: Full Time
• Pay: $18.00 per hour
• Shift: Monday-Friday 8:00AM – 4:30PM

• Hybrid after provisional training period

• Who We Are:
  Key Point Health Services is a leading nonprofit agency serving people with behavioral healthcare needs in the Greater Baltimore area. We provide comprehensive community-based services that help people thrive while realizing and choosing their goals. We provide opportunities, support and integration within our community. Among the programs and services we provide are Outpatient Mental Health Centers, Adult and Child Psychiatric Rehabilitation Programs, School-Based Therapy, Community Outreach, and Residential Services.

Who We Need:
We are currently looking for a full-time Insurance Verification Specialist to review insurance benefits and insurance requirements on all new and existing clients prior to treatment.

Supervisor: Revenue Cycle Manager

Desirable Qualifications:

• Demonstrate ability to communicate verbally and in writing to insurance companies
• Good Organization and customer service skills, and the ability to interact with clients, families, staff, management, physicians, representatives of insurance companies and other third party payors, as well as the general public
• Must function effectively under stress and demonstrate excellent problem solving skills
• Proficiency in use of computers and printers, fax machines and computer internet services and electronic medical records
• Good working knowledge of PPO, HMO, Medicare, Medicaid
• Thorough understanding of all entitlement, disability, and public insurance programs
• Ability to act as a liaison between the front office and back office systems.
• Attention to detail and concentration
• Ability to work in fast-paced, ever-changing environment.

Key Responsibilities Include:

• Export Streamline reports for Clinic scheduled client daily and verify their insurance coverage
• Contact the appropriate insurance company via telephone and/or insurance website for the purpose of a) identifying patient eligibility, b) obtaining eligibility dates, c) obtaining information regarding deductibles, co-payments and co-insurance amounts due; d) obtain information regarding authorization requirements and e) documenting all information in the patient’s account.
• Submit these completed reports to the appropriate clinic the day before the scheduled appointment.
• Monitor new client inquiries in Streamline and provide the appropriate clinic the insurance benefits within 48 hours of the inquiry submission.
• Other duties as assigned

What You Need:

• Have a high school diploma or equivalent
• Some experience in the medical billing environment
• Must have reliable transportation to and from work
• Pass a criminal background check and provide a negative drug screen

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

While performing the duties of this job, the employee is regularly required to stand; walk, use hands to handle objects, tools, or controls; reach with hands and arms; and talk or hear. The employee frequently is required to sit, climb, ascend and descend stairs, balance, taste and smell. The employee is required to stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

What We Offer Part time Employees:

• Sick and Safe Leave
• Accrual PTO time
• Up to 7 paid Holidays per year.
• And more!

We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)