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Insurance Verification Specialist

FLACRA
Newark, NY Full Time
POSTED ON 1/31/2025
AVAILABLE BEFORE 3/1/2025
Job Title: Insurance Verification Specialist

Location: Finger Lakes Region, NY

Employment Type: Full-Time

Job Summary

FLACRA is seeking a detail-oriented Insurance Verification Specialist to perform essential clerical functions related to patient billing, including verifying insurance information and resolving issues to ensure a smooth billing process. This position will work closely with the front office, call center staff, and billing team to provide a collaborative and effective work environment. The specialist will play a key role in ensuring accurate insurance verification and eligibility for admitted clients, maintaining our mission of providing exceptional patient care.

Minimum Qualifications

  • Preferred experience in insurance verification within a medical office setting.
  • Minimum of 1 year of relevant experience and/or equivalent combination of education and experience.
  • Strong understanding of administrative and clerical procedures.
  • Proven ability to collaborate across departments and build effective relationships with internal and external customers.
  • Knowledge of customer service principles and practices.
  • Ability to achieve team goals while demonstrating organizational values and utilizing resources efficiently.
  • Proactive and able to take initiative in addressing tasks and challenges.
  • Strong attention to detail and quality control in all aspects of work.
  • Possession of excellent organizational skills.
  • Strong verbal and written communication skills, with exceptional interpersonal communication abilities.

Work Environment & Physical Demands

  • Work is performed in an office setting.
  • Physical demands include sitting, typing, phone communication, and face-to-face conversations.

Job Requirements

Key Responsibilities:

  • Maintain accurate patient demographic information in the electronic client record (eCR) system.
  • Verify insurance eligibility for admitted clients by utilizing online tools or contacting insurance carriers directly.
  • Review patient deductibles and copayments, entering the data into billing systems and spreadsheets.
  • Coordinate with the front-end staff regarding required authorizations, including Medicaid restrictions.
  • Assist front-end and call center staff in understanding carrier websites and verifying insurance eligibility.
  • Enter insurance referrals as needed and ensure accurate tracking.
  • Participate in the development of organizational procedures and assist in updating forms and manuals.
  • Respond to questions from patients, staff, and insurance companies regarding insurance verification.
  • Collaborate with the billing department to ensure the accuracy of claims submissions.
  • Perform miscellaneous job-related duties as assigned, including attending educational sessions and monthly staff meetings.
  • Maintain strict confidentiality, adhering to all HIPAA regulations and guidelines.
  • Assist in the development and communication of Standard Operating Procedures (SOPs) to improve process accuracy and efficiency.

Skills & Experience

  • Ability to work independently on assigned tasks, while also accepting direction and guidance on team assignments.
  • Proficiency with computers and relevant software applications.
  • Strong problem-solving abilities and sound judgment in decision-making.
  • High attention to detail and accuracy in data entry and verification tasks.

About Us

Finger Lakes Area Counseling and Recovery Agency (FLACRA) is a growing, not-for-profit behavioral health and substance abuse treatment provider with decades of experience and multiple innovative program located throughout the Finger Lakes Region. Our services include outpatient, residential, crisis center, vocational, housing and youth services. We pride ourselves on being committed to the professional development of all our staff and if that is important to you, we invite you to choose FLACRA!

FLACRA is an equal opportunity employer committed to fostering an inclusive, diverse workplace. We are dedicated to creating an employee-centered work culture, where all individuals feel valued and respected. We encourage candidates from all backgrounds to apply and join our team of professionals, who are dedicated to our community’s recovery & mental health care needs.

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Salary Details

This salary was provided in the Job Posting.

$17.25-$18.40

Hourly Salary

Job Snapshot

Employee Type

Full-Time

Location

Newark, NY (Onsite)

Job Type

Admin - Clerical, Health Care, Nonprofit - Social Services

Experience

1 years

Date Posted

01/30/2025

Salary : $17 - $18

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