Job Summary:

In accordance with the organization’s mission, vision and values, the Insurance Verification Specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with other in a team environment.

Minimum Qualifications:

1. Preferred experience doing prior insurance verification in a medical office. Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience.

2. Strong knowledge of administrative and clerical procedures.

3. Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.

4. Knowledge of customer service principles and practices.

5. Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.

6. Ability to be proactive and take initiative.

7. Exhibit high level of quality through attention to detail and monitoring of work.

8. Possession of strong organizational skills.

9. Excellent verbal and written communication, as well as exceptional interpersonal communication skills.

Duties:

1. Maintains patient demographic information in eCR.

2. Verify insurance eligibility for admitted clients by utilizing online websites or by contacting the carriers directly.

3. Review patient deductibles and/or copays and enter into the billing system and spreadsheets.

4. Coordinate with front end regarding needed authorizations and those that are Medicaid Restricted.

5. Assist front end staff and call center staff in understanding carrier websites and verification of eligibility.

6. Enter insurance referrals as needed.

7. Participates in development of organization procedures and update of forms and manuals.

8. Answers questions from patients, clerical staff and insurance companies.

9. Works in conjunction with billing to ensure accuracy of claims.

10. Performs miscellaneous job-related duties as assigned.

11. Participates in educational activities and attends monthly staff meetings.

12. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

13. Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

About Us:

Finger Lakes Area Counseling and Recovery Agency (FLACRA) is a growing, not-for-profit behavioral health and substance abuse treatment provider with decades of experience and multiple innovative program located throughout the Finger Lakes Region. Our services include outpatient, residential, crisis center, vocational, housing and youth services. We pride ourselves on being committed to the professional development of all our staff and if that is important to you, we invite you to choose FLACRA!

FLACRA is an equal opportunity employer committed to fostering an inclusive, diverse workplace. We are dedicated to creating an employee-centered work culture, where all individuals feel valued and respected. We encourage candidates from all backgrounds to apply and join our team of professionals, who are dedicated to our community’s recovery & mental health care needs.

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Expected hours: 37.5 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Office

Experience:

• Medical office: 1 year (Required)
• Medical billing: 1 year (Required)

License/Certification:

• New York State Drivers License (Required)

Ability to Commute:

• Newark, NY (Required)

Work Location: In person