Insurance Specialist

NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION • Redding, IA

1d • $19 - $22 • Onsite

About The Position

The Insurance Specialist will be responsible for verifying insurance eligibility and benefits prior to patient appointments, contacting patients for correct insurance and coverage information, and understanding various coverage plans including in-network, out-of-network, prior authorizations, and single case agreements. This role involves submitting requests for prior authorizations for mental health services, explaining patient benefits such as deductibles, co-insurance, share of cost, and copays, and contacting patients for collections of these amounts. The specialist will also be responsible for consistently documenting communication with insurance companies and patients according to departmental policies and procedures, initiating/completing Prior Authorizations with payers as needed, and collaborating with the billing department on patient collections.

Requirements

• High School Diploma or equivalent
• Minimum of 1-2 years of experience working with insurance
• Solid understanding of Government, commercial and private payers
• 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

Responsibilities

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED