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The Insurance Verification Specialist will verify insurance eligibility and demographics through Electronic Medicaid Eligibility Verification System (EMEVS), Novitasphere, and NaviNet, as well as over the phone. Will be responsible for entering insurance information and updating demographic information in the electronic health record. Will create and upload statements on a monthly basis. Manage Medicare, Medicaid, and 3rd party claiming and accounts receivables as it relates to behavioral health services such as Outpatient, Case Management, Substance Abuse and Residential treatment. Will be responsible for reviewing claims in the electronic health record (Carelogic) for accuracy as well as submission of claims electronically through the Medicaid and ChangeHealthcare websites and via paper HCFA. Will monitor electronic claims to ensure successful transmission to clearinghouse. Must be able to understand and read the Explanation of Benefits (EOB).
Hours:
This is a full time position with the following benefits:
Education/Experience:
High School Diploma with computer experience required. Experience in electronic health records and insurance terminology preferred. Must be able to communicate clearly and pay attention to detail.
Must be able to work under required deadline schedules, while being flexible to special requests and projects. Must be able to professionally handle stressful situations.
Legacy Treatment Services is an Equal Opportunity Employer.
#LTS456
Other
$42k-50k (estimate)
05/06/2024
07/05/2024
legacytreatmentservices.org
Barnegat Township, NJ
<25
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The following is the career advancement route for Insurance Verification Specialist positions, which can be used as a reference in future career path planning. As an Insurance Verification Specialist, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Verification Specialist. You can explore the career advancement for an Insurance Verification Specialist below and select your interested title to get hiring information.