Position Title: Verification Specialist, Administration

Supervisor: Director of Admissions

FLSA Classification: Non-Exempt

POSITION SUMMARY: The Verification Specialist is responsible to verify patient insurance benefits for Substance Abuse.

GENERAL REQUIREMENTS/QUALIFICATIONS

COMPETENCIES:

• Analytical: This individual interprets and records complex and diverse information obtained from insurance provider.
• Planning/organizing: This individual prioritizes verifications, uses time efficiently and manages conflicting priorities in an effective manner.
• Quality management: Maintains confidentiality of client records.

ESSENTIAL FUNCTIONS and BASIC DUTIES

• Performs telephonic support for online authorization of substance abuse services
• Determines member benefit coverage

• Strong attention to detail
• Ability to work effectively in a fast paced environment and adapting easily to changes in assignment and routine.
• Re-verifies eligibility as needed, for UR denials
• Performs other duties as required
• Excellent computer, multi-tasking and phone skills
• Ability to work well under pressure (workflow is time sensitive)
• TEAM PLAYER and willing to be diversified in job duties

MINIMUM EDUCATION AND REQUIREMENTS:

• A High School diploma (or equivalent), preferred
• Highly proficient with web-based software and PC user navigation.
• Minimum 2 year of related work experience and/or Customer service experience.

PHYSICAL DEMANDS/ WORK ENVIRONMENT REQUIREMENTS:

EMPLOYER’S RIGHTS:

This job description does not list all the duties of the job. Incumbents may be asked by their supervisor to perform other duties. Incumbents will be evaluated in part based upon their performance of the tasks listed in this job description.

The Company has the right to revise this job description at any time. The job description is not a contract for employment, and either you or the Company may terminate employment at any time, with or without cause, with or without notice (subject to applicable laws).