What are the responsibilities and job description for the Insurance Specialist position at North American Mental Health Services?
Duties and Responsibilities
QUALIFICATIONS:
- Verify insurance eligibility and benefits prior to patient appointments
- Contact patients for correct insurance and coverage information
- Understand when the patient’s coverage plan has in or out of network coverage, requires a prior authorization for services, or a single case agreement
- Submit requests for prior authorizations for mental health services
- Understand, differentiate, and explain to patients their coverage of benefits, deductibles, co-insurance, share of cost and copays
- Contact patients for collections of deductibles, co-insurance, share of cost and copays
- Consistently document communication with insurance companies and patients per the departmental policies and procedures
- Initiate/complete Prior Authorizations with payers as needed
- Work with billing dept in patient collections
QUALIFICATIONS:
- High School Diploma or equivalent
- Minimum of 1-2 years of experience working with insurance
- Solid understanding of Government, commercial and private payers
- Must have the ability to multitask and manage time effectively
- Excellent verbal and written communication skills
- Outstanding problem-solving and organizational abilities.
- Full understanding of HIPAA requirements
- Understand and implement individual responsibilities while prioritizing a team culture
- Basic understanding of Microsoft office suite, with a focus on excel and powerpoint
Salary : $19 - $22