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Verification of Benefits Coordinator

Athena Care Inc
Nashville, TN Full Time
POSTED ON 1/24/2025
AVAILABLE BEFORE 4/22/2025

Job Type

Full-time

Description

The Verification of Benefits Coordinator works with the VOB Team Lead to support the Company's revenue cycle efforts by contacting insurance companies for assigned locations to verify the patient's specific mental health benefits, asking appropriate questions regarding the patient's benefits, and completing data entry and / or appropriate forms to document the patient's benefits coverage.

Core Job Duties & Responsibilities

  • Collects and reviews all patient insurance information needed to complete the Mental Health benefit verification process.
  • Verifies patient specific Mental Health benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access / provider options according to Program specific SOPs.
  • Verification process could include electronic validation and direct calls to the Insurance Company based on the specific Patient.
  • Identifies any restrictions and details on how to expedite patient access.
  • Completes quality review of work as part of finalizing product.
  • Reports any payer trends / delays to the VOB Team Lead.
  • Work requires focus, flexibility, and the ability to adapt to changing work situations.

Requirements

Education / Experience :

  • High school diploma or equivalent required.
  • At least 3 years experience with behavioral health verification of benefits required.
  • Customer service experience required.
  • Experience working in healthcare organization with 50 or more providers in a multidisciplinary setting preferred.
  • At least 2 years experience working e Clinical Works required.
  • Licenses / Certifications :

  • None
  • Knowledge, Skills, & Abilities

  • Knowledge of HIPAA rules related to patient billing
  • Knowledge of CPT medical codes and basic medical terminology preferred
  • Knowledge / understanding of both Medicare and commercial insurance payers required
  • Moderate to high proficiency with technology and navigating multiple systems to complete job tasks
  • High proficiency with verbal communication skills and ability to routinely communicate via phone
  • Highly organized and detail-oriented
  • Collaborative and team-oriented
  • Flexible, adaptable, and able to move between tasks regularly
  • Ability to work in a fast-moving and high volume environment
  • Written communication skills
  • Strong customer focus
  • Physical Requirements

  • This is an office-based and primarily sedentary role with minimal physical requirements.
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