Insurance Specialist

Aria Care Partners is the national leader in providing onsite dental, vision, hearing, and podiatry care to over 3500 long-term care and skilled nursing facilities across 25 states. Aria Care Partners believes that our clinicians should be able to focus on providing the best, most comprehensive care for their patients. Our clinicians visit different skilled nursing communities daily, bringing life-affirming care to an underserved population. Our business model, innovation, customer support and teamwork deliver an unparalleled customer experience, resulting in a customer satisfaction rating of over 98%. Executing this strategic philosophy resulted in rapid company growth with revenue increases of 25%-30% annually over the last 4 years, nearly doubling the size of the company. Company values include caring fully for our customers and fellow employees, striving for excellence and continuous improvement, and excelling through the power of teamwork and collaboration. At Aria Care Partners, our mission is to enrich the quality of life for every resident with passion and compassion.

Working at Aria Matters!

The purpose of this position is to facilitate timely and accurate eligibility checks for Vision, Podiatry and Dental services. This is achieved by reviewing and verifying eligibility for patients in assigned markets on the upcoming schedules. This role is fast paced, requires attention to detail, and knowledge of Medicare, Medicare Advantage, Medicaid and Commerican insurance.

Essential Duties & Responsibilities

• Verify and ensure accurate patient eligibility and benefit information to support timely and accurate revenue recognition.
• Maintain up-to-date information on patient coverage.
• Research eligibility information online with various insurance carriers.
• Responsible for acting as a liaison between clinical service managers and billing to ensure all proper measures are taken and information is collected.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Keep information in an orderly manner readily accessible for review as requested.
• Troubleshoot and resolve any problems or questions related to eligibility and benefits.
• Other duties as assigned by the Billing Manager

Education & Training Requirements

• Associate’s or Bachelor’s degree preferred, or equivalent work experience.
• 2 years’ experience in healthcare eligibility/medical billing/customer service.
• 1 Year of meeting goals and success at cleaning up of difficult accounts.
• Knowledge and experience with Microsoft Office products (Excel, Word, Outlook).
• Knowledge and experience with Medicare, Medicaid and Commercial insurance.

Other Qualifications

• Experience working in Practice Management Software.
• Problem solving — Identify and resolve problems in a timely manner.
• Customer service — Manage difficult client/customer situations, respond promptly to customer needs, solicit customer feedback to improve service, respond to requests for service and assistance and meet commitments
• Planning/organizing — Prioritize and plan work activities and use time efficiently.
• Quality control/Attention to detail — Demonstrate accuracy and thoroughness; monitor own work to ensure quality and apply feedback to improve performance.
• Adaptability — Adapt to changes in the work environment, manage competing demands, and deal with frequent change, delays, or unexpected events.
• Dependability — Consistently at work and on time, follow instructions, respond to management direction, and solicit feedback to improve performance.
• Able to work in a team environment.

Physical Effort & Working Conditions

Work is performed in a normal office setting with minimal exposure to health or safety hazards Substantial time is spent working on a computer and on the phone.

Work Location

This is a full-time position working standard business hours Monday - Friday. Position reports to the office for first six-months then moves to hybrid.

Benefits

We offer a comprehensive benefit package for you and your family, including:

• PTO and Paid Holidays for FT Employees
• 401k Retirement Plan with Company Match
• Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid EAP, and life and disability insurance, and more.