Insurance Verification and Authorization Lead

Health Solutions West is the Western slope’s largest behavioral health care organization, covering more than 23,000 square miles across 10 counties.  With over 250 employees in Western Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.

Position: Insurance Verification and Authorization Lead

Location: Grand Junction, Building A

Benefits offered to Full-Time Employees:

• Medical
• Dental
• Vision
• Paid time off accrual and generous leave policy
• 403(b) benefits with 6% company match

What You Would Be Doing

As an Insurance Verification & Authorization Lead, you would report to the Director of Revenue Cycle Management and be providing leadership and oversight to a team of Insurance Verification & Authorization Specialists and related positions who provide support to all clinical departments in the organization.  This position requires a strong understanding of healthcare payment and collection practices.

Duties include:

• Oversee the daily operations of the Insurance Verification & Authorization Specialists and related positions at multiple program sites
• Handle call offs and arrange for coverage at affected site(s)  
• Interview, train and onboard new staff
• Provide guidance regarding payers, ledgers and requiring authorizations and verifying insurances
• Answer interdepartmental inquiries regarding payers and eligibility
• Manage financial counseling process and outcomes to forward applicable information to the Billing team
• Work with Support Services and clinical departments regarding individualized payment arrangements with clients.
• Ensure that all relevant client information is recorded in the electronic health record to support proper billing of client balances.
• Monitor overdue accounts, and proactively collect outstanding balances in conjunction with Billing Specialists
• Review self-pay accounts for collection agency submission.
• Provide exemplary customer service, demonstrating patience and understanding while carrying out the Company’s payment policies.
• Maintain strict confidentiality of sensitive and protected information in accordance with HIPAA regulations.
• Other duties as assigned.

What We’re Looking For—The Must-Haves

• High school diploma or equivalent required
• At least 3 years of relevant medical office experience and basic understanding of billing processes
• Supervisory experience
• Practical knowledge of payer specific rules and regulations, including Medicaid and Medicare
• Excellent interpersonal and customer service skills
• Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service
• Willingness to work collaboratively with multiple teams and tasks
• Proficient in Windows-based computer programs and electronics charts, as well as basic office equipment
• Ability to multi-task and prioritize in a fast-paced setting
• Well-organized, self-motivated, and proficient time management
• Strong communication skills both verbally and in writing

What We’d Like to See in You—The Nice-to-Haves

• Experience working in Netsmart’s MyAvatar and NextGen electronic health record systems
• CAAS Certification or willingness to obtain the credential
• Spanish language skills

Health Solutions expects all staff to

• Adapt to change in the workplace and use change as an opportunity for innovation and creativity;
• Take ownership of problems, brainstorm problem resolutions, and use sound judgment in selecting solutions to problems, and demonstrate consistent follow through;
• Possess the job knowledge and skills to perform the fundamental job functions, and assume greater responsibility over time regarding the scope of work;
• Inspire and model collaborative teamwork; and
• Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service.

Must already be authorized to work in the US; sponsorships not available.

Salary : $25