Overview

We are seeking an experienced Benefits Specialist to join our team. The Benefits Specialist is responsible for contacting insurance companies to verify patient insurance coverage. The Benefits Specialist ensures a patient’s insurance coverage by telephone or on-line portals, works through, and solves any problems or issues and escalates more complicated issues to a supervisor. The Benefits Specialist is responsible for updating patient benefit information in the Proud Moments EMR system and verifying that existing information is accurate. 

Proud Moments ABA is a behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. Proud Moments is a haven of knowledge and expertise for parents of children diagnosed on the autism spectrum. Our highly qualified BCBA/LBAs (Board Certified Behavior Analysts/ Licensed Behavior Analysts) possess years of experience and training and utilize their extensive skills to improve social, behavioral and adaptive skills with individually tailored programs. 

Responsibilities

As a Benefits Specialist your duties and responsibilities consist of:

• Compiles medical insurance verification of benefit and eligibility information submitted by client for processing within contracted timelines
• Ensures verification of benefit and eligibility information obtained from payer/insurance company is accurate
• Inability to obtain a verification of benefit or incomplete information is reported to manager immediately
• Responsible for maintaining a system for initial and subsequent verification of benefits
• Responsible for daily reporting of verification of benefit activities
• Keeps supervisor apprised of matters regarding verification of benefits
• Problem solves/ assists with conflicting benefit information received from insurance carriers
• Rechecks benefits for patients under self-funded plans
• Represents Company in a professional manner at all times
• Keeps current with third party/payers guidelines
• Maintain high-integrity and honesty in all affairs
• Other duties as assigned

Qualifications

As an ideal Benefits Specialist candidate, you bring to Proud Moments ABA:

• High school diploma or GED required
• Experience in a medical billing/insurance qualification role
• Exemplary customer service skills
• Attention to detail and ability to complete the job with minimal errors
• Excellent oral and written communication skills
• Ability to prioritize and manage time effectively
• Ability to maintain confidentiality
• Proficient with Microsoft Suite: Word, Excel, PowerPoint, and Outlook
• 4-year college degree and/or medical billing/coding certificate preferred

WHAT WE OFFER:

• Competitive salary commensurate with experience and geographic region
• Flexible schedules (100% remote)
• Generous PTO
• Medical, dental and vision coverage
• 401K participation
• Employee Assistance Programs

To apply, please submit your resume. Qualified candidates will be contacted via email.

You deserve to work with the best – Proud Moments ABA.

If you’re ready to accelerate your career with a fast-growing, highly respected behavioral health organization, Proud Moments ABA encourages you to submit your qualifications for this position today. Candidates who meet our requirements will be contacted via email.

Proud Moments ABA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, veteran status, sex, national origin, age, disability or genetics. In addition to federal law requirements, Proud Moments ABA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Salary Range: $60,000 - $65,000 Annually