Insurance Verification and Authorization Specialist

Health Solutions West•Grand Junction, CO

6d•$19 - $19•Onsite

About The Position

Health Solutions West is the Western slope’s largest behavioral health care organization, covering more than 23,000 square miles across 10 counties. With over 250 employees in Western Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.

Requirements

High school diploma or equivalent required
At least 3 years of relevant medical office experience and basic understanding of billing processes
Practical knowledge of payer specific rules and regulations, including Medicaid and Medicare
Excellent interpersonal and customer service skills
Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service.
Willingness to work collaboratively with multiple teams and tasks.
Proficient in Windows-based computer programs and electronic charts, as well as basic office equipment
Ability to multi-task and prioritize in a fast-paced setting
Well-organized, self-motivated, and proficient time management
Strong communication skills both verbally and in writing
Must already be authorized to work in the US; sponsorships not available.

Nice To Haves

Experience working in NextGen and MyAvatar electronic health record systems
CAAS Certification

Responsibilities

Verifying eligibility, ensuring all insurances are active and insurance information is correct for health benefits and updating the chart with correct information prior to scheduling clients.
Request prior authorization for services prior to visits if needed.
Assist clients with completing applications for Medicaid, other insurance benefits, outside assistance, and/or other community services.
Ensure all appropriate forms are completed timely and accurately.
Assist clients with sliding fee scale application.
Provide financial counseling services to clients prior to treatment or when referred by other departments.
Discuss patient financial obligations, access financial hardship and establish payment arrangements.
Monitor overdue accounts and proactively collect outstanding balances in conjunction with the collection agency.
Review accounts pending collection agency submissions.
Provide exemplary customer service, demonstrating patience and understanding, while carrying out the company’s payment policies.
Maintain strict confidentiality of sensitive and protected information in accordance with HIPAA regulations.
Other duties as assigned.