Insurance Verification and Authorization Specialist

The Guidance Center•Southgate, MI

46m•Onsite

About The Position

As a recognized leader in our field, The Guidance Center provides a broad range of services that have helped children, adults and families unlock potential and build better lives since 1958. With over 25 programs, we offer treatment, prevention, growth and education services to more than 14,200 people annually. Together we: Nurture development. Foster resilience. Cultivate well-being. We have an exciting opportunity for an Insurance Verification and Authorization Specialist to join our team of talented professionals. The insurance verification person is responsible for the checking, maintaining, data entry changes required and tracking of all EHR/MiGuidance related activities having to do with Benefit Plan verification and authorization requirements. This position is responsible for ensuring that all data related to insurance coverage for clients with Medicaid, Medicare, and/or third-party payers is correctly entered into the electronic healthcare record (EHR) in a timely manner, monitoring documents necessary to be completed in the client record when changes occur. Benefit Plan verification position is required to maintain a clear line of communication with clinical staff, billing staff, EHR Support and program directors in order to reconcile and resolve any issues that arise concerning benefit plan verification, authorizations, or any ongoing processes related to benefits for consumers. Regular working hours are Monday through Friday 8:30 am to 5 pm, although due to the needs of department/programs, additional hours may also be required.

Requirements

Must have High school diploma or G.E.D.
Must have at least 2 years of experience in the medical/healthcare field with at least 1 of those years working with medical insurance benefit verification & authorization processes.
Must have experience verifying insurance on third party insurance websites.
Must have experience working with Medicaid, Medicare and third-party payers.
Must be proficient in a variety of computer programs including MS Office and dedicated software systems.
Must have great attention to detail, the ability to work independently and must have accurate data entry skills.

Responsibilities

Checking, maintaining, data entry changes required and tracking of all EHR/MiGuidance related activities having to do with Benefit Plan verification and authorization requirements.
Ensuring that all data related to insurance coverage for clients with Medicaid, Medicare, and/or third-party payers is correctly entered into the electronic healthcare record (EHR) in a timely manner.
Monitoring documents necessary to be completed in the client record when changes occur.
Maintaining a clear line of communication with clinical staff, billing staff, EHR Support and program directors in order to reconcile and resolve any issues that arise concerning benefit plan verification, authorizations, or any ongoing processes related to benefits for consumers.