Insurance Specialist - Behavioral Health

Sun River HealthNew York, NY
$21 - $24Onsite

About The Position

Sun River Health is seeking a full-time Insurance Specialist to support the HUB site in the Bronx, NY. The Insurance Specialist coordinates insurance benefits for patients including but not limited to enrollment/disenrollment processes, restrictions, visit authorizations, and payments for services. Performs clerical duties, acts as receptionist, coordinates patient appointments, and communicates with all disciplines.

Requirements

  • High school diploma/ GED
  • 2-4 years of work-related experience

Nice To Haves

  • Bilingual in Spanish (Oral and written)

Responsibilities

  • Coordinates reception/front office operations duties – Greet and register all patients as they arrive, perform insurance verification/MUT preparation, schedule appointments, answer calls, take messages and other similar clerical tasks when indicated
  • Verify insurance coverage and obtain necessary authorization for medical/dental/behavioral health visits
  • Adheres to Front Desk Protocol for patient flow (1. Reception, 2. Registration, 3. Discharge and follow up appointments)
  • Coordinates discharge process when indicated - schedules, all f/u appointments, prior approvals, etc
  • Handles complex insurance issues as necessary including but not limited to restrictions, verifications, and visit authorizations
  • Point person for patients who are designated as self-pay, providing information on services and cost of care
  • Serves as a resource to patients regarding insurance enrollments, restrictions, deductibles and co-payment information and collection
  • Serves as a resource to registrar staff for source of insurance information and direction
  • Assist with the enrollment process in Medicaid Managed Care plans
  • Conforms to policies and regulations governing patient rights and confidentiality of information

Benefits

  • Medical, Dental and Vision Insurance
  • Life and Disability Coverage
  • Retirement Savings Plan
  • Commuter and Transit Benefits
  • Employee Assistance Program (EAP)
  • Employee Discount Program
  • Professional Development, Education and Loan Assistance Benefit Programs
  • Tuition Reimbursement Program
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