Insurance Verification Specialist
About The Position
Helping families heal. We believe it. We live it. The Ascent Programs are a group of licensed, accredited therapeutic program located in Utah. We have 30+ years of experience using evidence-based practices to help families heal. As our Insurance and Medical Records Specialist, you will be responsible for verifying insurance benefits, updating admissions teams, educating families, managing medical records, submitting medical records to payors and maintaining organizational compliance while following all HIPAA regulations. Many families need help with their child's mental health but don't know where to start. As our Insurance and Medical Records Specialist, you play a crucial role in helping make this life-saving treatment accessible. This may mean walking a parent through what services we offer or working with insurance companies to get benefits clarification for families. A successful Insurance Specialist will enhance the quality of patient management, maximize satisfaction, and promote cost effectiveness while working across clinical teams and departments.
Requirements
- High school Diploma
- Able to pass background criminal investigation checks
- Eligible to work in the USA
- Proficient in basic computer programs
- Proficient in communicating, both verbally and in writing, in English
- Reflective listening skills
- Empathetic
- Clear, honest communication
- Experience working in a remote setting
Nice To Haves
- Some college
- Billing and coding knowledge
- Professional experience in a treatment facility
- Professional experience in working with commercial insurance
Responsibilities
- Ensure timely and accurate verification of benefits for commercial and Medicaid insurance coverage as related to Behavioral Health coverage
- Responsible for timely responses to insurance exclusions, monitoring for trends, and providing feedback on operational processes
- Responsible for processing and responding to requests for information and records from insurance companies
- Responsible for invoicing of patient co-pays and deductibles, private pay collections and A/R management
- Make recommendations on adjustments, and outside collection activity in alignment with company policy and procedures
- Partner will utilization review team to ensure timely verification and medical records requests to third party payors
- Participate in regular billing coordination meetings and provide feedback for problem solving
- Provide feedback to program on how to ensure compliance while maximizing revenue
- Ensure clinical data and case notes support clinical needs and clients are receiving proper therapeutic interventions
- Maintain thorough documentation of all activities
- Participate in performance improvement activities
- Respond to customer inquiries both telephone and by email
- Work within an established lead management software system
Benefits
- Health, dental, vision, accident, critical illness, and other insurance plans available after probationary period for full-time employees
- Employer contributions to Health Savings Account (HSA)
- Free Employee Assistance Program (EAP)
- Continued professional development & certification opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
