Patient Benefits Verification Specialist

The Patient Benefits Verification Specialist is an integral role within the Revenue Cycle. The Patient Benefits Verification Specialist researches, analyzes, and evaluates payer status and determines insurance coverage specifically for substance abuse and mental health benefits. The position will work closely with Patient Access Coordinators, Referent Relations, Financial Advocates, Managed Care, Contracting, and Patient Accounts team members. The Patient Benefits Verification Specialist will work in multiple systems, including RMIS, Sales Force Service Cloud, Compass and online payer portals. In-depth insurance knowledge and detailed documentation is required. The Patient Benefits Verification Specialist is responsible to research, analyze, and evaluate network status, eligibility, authorization requirements, deductibles, coinsurance, out of pocket maximums, copays, exclusions, limitations, and any other requirements of the plan. The Patient Benefits Verification Specialist is responsible for clearly and precisely documenting all relevant information to be relayed to the patient and verifying that all data is accurate and updated for efficient claim processing.

• Research, analyze, and evaluate payer status and determine insurance coverage specifically for substance abuse and mental health benefits at all applicable levels of care
• Enter clear, accurate, detailed, and timely documentation in all applicable systems
• Ensure Insurance and Financial Information Integrity
• Maintain a collaborative and respectful relationship with the multidisciplinary team, including Referent Relations, Patient Access Coordinators, Contracting, Managed Care Specialists, and Patient Accounts team. Respond to all inquiries promptly
• Facilitate and demonstrate communication of patient information in order to represent accurately transactions with patients according to internal/external standards

Required Qualifications

• Bachelor's Degree or at least 6 years of equivalent work experience
• 2 or more years working with healthcare insurance and finances
• Previous experience working closely and collaboratively with other teams on a patient's behalf.
• Demonstrated knowledge in Microsoft Suite
• Excellent interpersonal and telephone communication skills

Preferred Qualifications

• Experience with Cerner EHR
  
• Experience with Substance Use and Mental Health services
  
• Knowledge of 12-Step Program

The Hazelden Betty Ford Foundation is the largest nonprofit addiction recovery organization in the United States. It is also one of the most mission-driven places you will find. The Hazelden Betty Ford Foundation team is passionate about providing hope and ultimately healing. As a living, growing and evolving institution, the Hazelden Betty Ford Foundation is - at our core- a people-powered organization. Hazelden Betty Ford Foundation is comprised of 1600 employees, seventeen treatment sites and produces $190 million dollars in annual revenue. This exemplary organization serves nearly 25,000 people annually and is committed to provide hope and healing for those experiencing addiction to alcohol and other drugs.

What makes this organization unique is its total ecosystem approach to prevention, education, research, advocacy and treatment. All of the parts of the organization work together to inform, develop and deliver evidence- based practices that help people reclaim their futures and restore their hope.

Being "a best place to work" is a strategic goal of Hazelden Betty Ford Foundation and it's a goal that every employee plays an active role in helping to achieve. Our culture is a reflection of how encouraged and energized we each feel about contributing our ideas and performing to our greatest ability. Join us and do meaningful work.

We deeply value our employees. Working at Hazelden Betty Ford Foundation includes a comprehensive benefits package, including:

• Competitive Health, Dental and Vision Plans
• Retirement savings plan with employer match
• Paid time-off
• Tuition reimbursement

The Hazelden Betty Ford Foundation is proud to be an equal opportunity and affirmative action employer. We believe that diversity and inclusion among our colleagues is critical to our success as a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs; and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.