Insurance Verification Specialist

Job Summary

Primary Responsibilities:

• Deliver prompt, courteous customer service through multiple software applications (email, chat, phone) and technology platforms to provide front line support to clients and clinicians.
• Verify insurance coverage and benefits utilizing all available verification and eligibility tools and contact payers as needed.
• Collect patient data involving medical, demographic, and insurance information, following HIPAA guidelines, and accurately enter insurance information into practice management systems.
• Use discovery, critical thinking, and problem-solving processes to troubleshoot issues and generate solutions.
• Communicate cost estimates and insurance benefits to clients and clinicians utilizing email, phone, and EMR system.
• Complete insurance benefits verification in a timely manner, update demographic and insurance information and alert staff to changes, obtain authorizations, and ensure appropriate coverage and benefits.
• Advocate for clients’ issues, inquiries, concerns, needs, and suggestions while maintaining ownership of the case and follow-through to completion.
• Thorough documentation of all client interactions within our ticketing and contact center software platforms.

You may also be cross-trained with the other Insurance Operations department, Provider Enrollment.

• Assisting with insurance enrollment of newly hired therapists
• Assisting with CAQH profile updates
• Tracking and contacting therapists regarding upcoming expirations of license, professional insurance, etc.
• Reviewing insurance enrollment statuses
• Responding to email inquiries
• Updating individual and group profiles with insurance companies
• Adding providers to multiple insurance enrollment platforms
• Other duties as assigned.

What will you need to be successful in this role?

• Exceptional writing and communication skills, with the ability to articulate information clearly and concisely (required).
• A writing sample will be required.
• High level of professionalism when interacting with other team members, clinicians and patients. (required).
• Strong problem-solving abilities and a proactive approach to addressing clinician and patient needs or concerns.
• Ability to prioritize and organize tasks with solid time management skills.
• Willingness to work in a collaborative team environment.
• Experience with CRM Software (e.g., Salesforce) and other relevant tools is a plus.
• Previous experience working in the mental health space directly with clinicians (preferred)
• Previous billing and/or verifications experience (preferred)

Job Type: Full-time

Pay: From $17.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Experience:

• Medical billing: 1 year (Preferred)
• Medical Insurance verification: 1 year (Preferred)

Ability to Commute:

• Troy, MI 48084 (Required)

Ability to Relocate:

• Troy, MI 48084: Relocate before starting work (Required)

Work Location: Hybrid remote in Troy, MI 48084

Salary : $17