Insurance Verification Specialist

* This is a REMOTE position *

JOB SUMMARY:

The primary function of the Insurance Verification Specialist is to contact insurance groups to obtain eligibility information, obtaining pre-authorizations where required, and ensuring that the most updated verification is entered into the EMR and/or RCM software.

ESSENTIAL JOB FUNCTIONS:

• Verifies patient insurance eligibility and benefits using an of the automated systems, web-based utilities, and phone verification directly with the payor.
• Performing prior authorizations as required by payor source, including procurement of needed documentation by collaborating with providers and insurance companies.
• Contacting insurance carriers per patient, to ensure proper coordination and reimbursement of benefits.
• Updates, edits, and confirms accurate financial account information on each patient record.
• Speak to clients/ patients about insurance benefits and financial obligations.
• Participates in AR Collections.
• Serves as back-up for Billing as needed.
• Other administrative duties as assigned.

• Must have experience in behavioral health and/or substance abuse.
• Ability to communicate effectively and professionally with strong attention to details and problem solving both verbally and written.
• Strong telephone communications skills are required.
• Ability to prioritize work and meet deadlines is required. Knowledge of general office procedures is required.
• Ability to operate common computer systems, utilize collection system and business software is required.