Insurance Specialist

momentum-formerly-ucpla•Torrance, CA

5d•Onsite

About The Position

Momentum is currently hiring an Insurance Specialist for our pediatrics department. The Insurance Specialist is responsible for verifying benefits, obtaining authorizations, and ensuring all required information is received for all insurance carriers. The Insurance Specialist works closely with the Scheduling Administrators, Accounting department, and Therapy Directors. The Insurance Specialist must have great knowledge and understanding of patient benefits, plan coverage, and obtaining funding.

Requirements

High school diploma, required
Minimum of two (2) years’ experience in a healthcare or therapeutic setting; required
Knowledge and understanding of patient benefits and plan coverage, and how to obtain funding; required
Experience with ICD 10 and CPT codes; required
Strong attention to detail and highly organized
Ability to maintain confidentiality
Communicate and work professionally and cooperatively with others
Successfully pass all post offer, pre-employment screening requirements, including criminal background check and provide proof of eligibility to work in the United States

Nice To Haves

Bachelor’s degree in related field, preferred
Valid and current proof of legal right to drive in California; preferred, not required

Responsibilities

Verifies insurance benefits
Obtains authorizations and requests information to ensure funding for all accepted insurance carriers
Enters new and updated insurance/funding information into the EMR system
Contacts families regarding eligibility of benefits or changes in plans, including tracking plan effective dates
Obtains updated insurance card and information from participating families
Tracks, routes, and submits therapy reports to appropriate funding source for reauthorization, while monitoring funding end dates to ensure continued coverage
Provides administrative support to the Scheduling Administrators and Department Manager(s), as needed
Performs other duties as assigned to meet departments and/or business needs