What are the responsibilities and job description for the Medical Insurance Verification Specialist position at Horizon Behavioral Health?

Job Description

Hours : Full-time (37.5 hours per week), M-F 8 : 30 am – 5 : 00 pm

Location : Lynchburg VA, 24501

Compensation depending on experience

Position Summary

The Medical Insurance Verification Specialist will be responsible for validating insurance eligibility and coverage and coordination of benefits. The ideal candidate will ensure a positive experience for patients, providers, and fellow teammates and will also contribute to faster and more efficient reimbursement. The Medical Insurance Verification Specialist will perform monthly, weekly, and daily insurance verifications on all clients served.

Required Education and Experience

High school diploma or GED.
One (1) or two (2) years of related experience in a medical billing office that includes prior experience working with Medicaid, other government payors, and private insurance; or an equivalent combination of education and experience that provides the required knowledge, skills, and abilities.

Related Knowledge, Skills and Abilities

Knowledge of administrative and clerical principles, methods, and procedures.

Knowledge of principles, procedures, and techniques related to operation of PC, business software, and office equipment.

Knowledge of electronic calendaring programs (e.g., Microsoft Outlook, Credible) for scheduling appointments and setting reminders.

Knowledge and experience using an electronic health record (EHR) system.

Knowledge of HIPAA and ability to maintain confidentiality of client information.

Knowledge of medical office practice and environment.

Knowledge of medical terminology and abbreviations used in a medical office.

Demonstrated knowledge of proper spelling, grammar, punctuation, and sentence structure to ensure that written materials prepared an reviewed are complete, concise, and error-free.

Proficient in Microsoft Office Suite.

Ability to present and express ideas and information clearly and concisely in a manner appropriate to the audience, whether oral or written. Actively listens to what others are saying to achieve understanding.

Ability to respond effectively to changes in the work environment in a positive and professional manner.

Ability to manage time to ensure multiple competing deadlines are met.

Ability to record data accurately and complete documentation within established expectations and by communicated deadlines.

Ability to exercise sound judgment when making decisions in accordance with program or work unit goals and objectives.

Ability to promote positive, collaborative, and professional working relations among coworkers and representatives in the community.

Ability to use tact and diplomacy when dealing with the needs, problems, and / or concerns of other department staff, outside agency personnel, and / or the public.

Ability to work independently with minimal supervision.

Ability to drive and must possess a valid Virginia driver’s license. May be required to travel to different Horizon worksites during the day based on operational needs or provide administrative support at other locations. Regular attendance at trainings and Horizon meetings may require travel to a variety of Horizon sites.

Willing and available to work modified schedules (weekends, holidays, etc.) as required.

Horizon Environment

Horizon Behavioral Health Community Services Board (CSB) is in the beautiful heart of Central Virginia. Whether your passions be hiking the Appalachian Trails, kayaking the James River Blueways, or a Sunday drive along the world-famous Blue Ridge Parkway, Lynchburg Virginia offers small-town southern charm with an active culture of music festivals, outdoor activities, world-class performing arts and a revitalized downtown that placed it at the top of the list by Reviews.org as the 2019 best place for millennials to move. Horizon is also the proud recipient of Living in Lynchburg’s 2021 Giving Back Award, Best of Lynchburg for Counseling Services for multiple consecutive years and named Best Place to Work by Lynchburg Business Magazine in 2023, and again in 2024!

The Best Benefits for Those Who Take Care of the Community

We’re proud to offer some of the best benefits options in Central Virginia. Participation in the Virginia Retirement System (VRS) is exclusively for public service workers in Virginia, while several options exist for life, health, dental, and vision insurance. Emphasis on work-life balance means a generous annual leave policy ensuring time for wellness with separate time allocated for sick leave and additionally for paid holidays. Stay active with Horizon’s annual wellness programs and various opportunities to interact with the community through the year. Horizon’s clinical sites are NHSC / HRSA approved for clinical student loan repayment and qualify for both the Public Service Loan Forgiveness (PSLF) and the Behavioral Health State Loan Repayment (BHLRP) programs. If you are interested in continuing your education, working at Horizon qualifies you to receive discounts at some local universities.

To Apply – Please visit our online career center at https : / / www.horizonbh.org / careers /

Horizon Behavioral Health is an Equal Opportunity Employer (EOE).

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