What are the responsibilities and job description for the Insurance Verification Specialist position at Discovery Behavioral Health?
Position Summary
Responsibilities include but are not limited to effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers. Good verbal and written communication are required. Record keeping must be accurate and thorough. You will obtain correct detailed insurance company benefit information either by speaking personally with the insurance company reps or via the web within a tight turnaround time. Flexibility with schedule so that you can meet critical deadlines as established.
Essential Job Functions
Knowledge, Education, And Experience
Due to the nature of our business, we need a compassionate understanding person with:
Responsibilities include but are not limited to effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers. Good verbal and written communication are required. Record keeping must be accurate and thorough. You will obtain correct detailed insurance company benefit information either by speaking personally with the insurance company reps or via the web within a tight turnaround time. Flexibility with schedule so that you can meet critical deadlines as established.
Essential Job Functions
- Review of data on insurance policies to ensure accurate claiming
- Verify patient eligibility, coordinate benefits, and determine patient coverage
- Verify patient insurance coverage, to ensure necessary procedures are covered by an individual's provider
- Enter data in an accurate manner, verify that existing information is accurate
- Re-verify insurance verifications to ensure that proper benefits are given
- Provide clients with pertinent information regarding their coverage
- Maintain confidentiality of patient care and business
- Accurate and thorough records must be kept
- Work collaboratively with Admissions, Utilization Review, and Billing Department
- Provide staff with resources to help coordinate client's aftercare referrals/appointments
Knowledge, Education, And Experience
Due to the nature of our business, we need a compassionate understanding person with:
- Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefit as well as co-pays and deductibles)
- Coding/Billing Certificate from an accredited institute or school preferred
- 1-year minimum healthcare insurance verification experience or medical front desk experience conducting insurance verifications is preferred
- Knowledge of SUD, inpatient, outpatient, eating disorder and Mental Health programs