Insurance Administrator

Job Summary:
We are seeking a dynamic and motivated Insurance Specialist to join our team! In this position, the Insurance Specialist will play a key role in supporting a team of multidisciplinary behavioral health clinicians on a variety of insurance-related matters.

As the Insurance Specialist, you will serve as the core of our insurance operations. You will be responsible for managing the entire insurance lifecycle, from initial benefit verification to persistent follow-up on complex claims. Success in this role requires keen attention to detail, a passion for problem-solving, and the ability to maintain professional diplomacy while ensuring clients’ access to care is prioritized.

Responsibilities

• Provide comprehensive support for prior authorizations across a range of clinical services.
• Maintain accurate and precise records in the electronic health record system (Central Reach experience is highly desirable) while ensuring full compliance with HIPAA guidelines.
• Proactively track supporting documentation from medical and school sources by maintaining regular communication with insurance carriers, clinicians, and parents.
• Assist clients in understanding their coverage options and financial responsibilities with empathy and clarity.
• Serve as the primary expert on insurance matters within the organization, demonstrating the ability to independently resolve issues by utilizing available resources when encountering unfamiliar situations.

Requirements

• Demonstrated exceptional organizational skills, proficiency in Microsoft Excel, and familiarity with behavioral health terminology (ICD-10/CPT).
• Detail-oriented, enjoys solving complex problems, and maintains professional diplomacy while advocating for client access to care.
• Previous work as a Behavior Technician and/or other clinical position is desirable
• Experience with commercial insurance payors is desired.
• Experience with claims processing, denial management, and third-party billing companies is highly desirable.
• Comfortable serving as a subject matter expert within the organization.
• Ability to work within established processes and contribute to process improvement based on expertise.
• 1–2 years of experience in healthcare administration, insurance billing, or a similar role in medical or behavioral health.
• Completion of some college coursework is required; majoring in Health Administration, Business, or Psychology is preferred.
• A genuine interest in the business aspects of healthcare and a passion for supporting mental health initiatives.

Benefits:

This is a full-time, benefits eligible position. CCSN offers a generous benefits package, including but not limited to: 6-weeks of annual PTO, health/dental/vision insurance, 401(k), a professional development budget, and paid parental leave.

Physical Requirements for position:

• Physical demands associated with this position include extensive sitting for approximately 80% of the day.
• Comfort working at a computer workstation for extended periods
• Be able to lift 40 pounds without assistance.
• Operating and working on a laptop, keyboard and/or iPad.
• Be physically present at the assigned job location.

About CCSN:

Since 1994, CCSN is a multidisciplinary outpatient behavioral health organization with expertise in supporting individuals with autism and related developmental disabilities. Center-based care is provided at three locations in Westbrook, Glastonbury, and Farmington, CT. Services at CCSN include Occupational Therapy, Speech and Language Therapy, Applied Behavior Analysis (ABA), psychological evaluations, outpatient psychotherapy, and waiver-based services through DSS.

CCSN Behavioral Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status