Insurance Verification Representative

Job Overview:

This position is with a third-party billing company that services Substance Abuse and Mental Health Facilities. The Insurance Verification Representative will be responsible for contacting insurance companies to verify insurance information for potential admitting patients in behavioral health and substance abuse settings. Using internal processes, the representative will obtain detailed insurance data, check patient eligibility and benefits, and input the information into the Electronic Medical Record (EMR) system.

Key Responsibilities:

• Contact health insurance companies to verify patient benefits and eligibility for behavioral health and substance abuse services.
• Accurately input verified insurance data directly into the EMR database.
• Follow internal procedures to gather the necessary insurance information for potential admitting patients.
• Adhere to company and client standards, with training provided to ensure alignment with protocols.
• Maintain HIPAA compliance and manage sensitive patient information with confidentiality.

Summary: As an Insurance Verification Representative, you will play a vital role in ensuring the accuracy and timeliness of insurance verifications for patients at behavioral health and substance abuse facilities. Reporting to the Verifications of Benefits Manager, you will utilize your knowledge of medical terminology, coding, and insurance verification processes to streamline patient admissions. Your understanding of managed care and HIPAA regulations will contribute to efficient operations while enhancing the patient experience.

Qualifications:

• Previous office experience in a medical setting, preferably within a behavioral health or substance abuse context.
• Proficient in medical terminology and verification of benefits.
• Strong understanding of medical coding, including CPT and ICD-9/ICD-10 codes.
• Experience with insurance verification processes and eligibility inquiries.
• In-depth knowledge of HIPAA regulations and patient confidentiality.
• Proficiency in computer systems and familiarity with software applications, including Salesforce, Availity, and Kipu EMR.

Job Type: Full-time

Pay: $18.00 - $22.00 per hour

Expected hours: No more than 40 per week

Benefits:

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

Education:

• High school or equivalent (Required)

Experience:

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

Language:

• English (Required)

Location:

• Delray Beach, FL 33484 (Preferred)

Ability to Commute:

• Delray Beach, FL 33484 (Required)

Ability to Relocate:

• Delray Beach, FL 33484: Relocate before starting work (Preferred)

Work Location: In person

Salary : $18 - $22