Scheduling & Insurance Verification Specialist

BRIDGEWAY BEHAVIORAL HEALTH SERVICES•Hoboken, NJ

7d•Onsite

About The Position

Bridgeway values and promotes quality clinical and administrative practices to foster the best outcomes for persons who come to us for behavioral healthcare. We offer a work environment that supports teamwork, creativity, innovation, professional growth and dedication to the work. At Bridgeway, we never stop growing and innovating our vision of behavioral healthcare for the future. As a Scheduling and Insurance Verification Specialist, you will join an evidence-based program and a dynamic team for the opportunity to learn and refine your clinical and engagement skills and accomplish your dream of helping people to make progress on their unique recovery journeys. The work is sometimes challenging and always rewarding by engaging with persons we serve and co-workers as we all learn, grow, and thrive.

Requirements

High School Graduate or equivalent is required.
Excellent interpersonal and customer service skills in working with persons with disabilities and other service provider personnel.
Billing and Data collection experience required.
Bilingual Spanish required.

Nice To Haves

Associate’s degree or Graduate of Administrative Assistant/Business School Program is preferred.

Responsibilities

Create and maintain a wellness and recovery-oriented environment by using respectful, person-first language, documentation, and interactions.
Provide the highest quality customer service to all employees and customers as follows: be friendly, responding promptly, know your service, listen to and get to know our staff and customers, be open to asking, receiving and using feedback, create positive work relationships, always follow up with assignments and be curious.
Maintain a culture of compliance with internal and external policies, regulations, laws and high ethical standards.
Successfully completes the insurance verification and accompanying documentation in the electronic health record.
Completes all initial documentation on the EHR, including episodes, profile page and payer information
Ensures confidentiality of information gathered
Utilizes EMEVS and Navi Net to verify insurance information prior to services, and verifies insurance eligibility on each and every visit, both in person and via telehealth, updating any insurance information as needed in EHR
Supports the billing by correctly verifying and documenting insurance coverage, data collection, and data reporting functions, while backing up the central access function.
Call or access on-line systems to assist in obtaining pre-authorization and prior authorization for services
Utilize sliding fee scale with persons served who do not have any coverage
Collect co-pays and enter them into EHR
Direct, assist and coordinate with new persons served to complete registration and clinical paperwork through the On-Call and patient portal.
Runs Business Intelligence Reports on a daily basis, including the Program Census Report, to ensure the accuracy of all information that is entered in HER
Screens for basic information, begin EHR file, and link to clinician, with warm handoff, for risk assessment within the sameday.
Responsible for the initial and ongoing scheduling of all appointments, including initial intake, initial psychiatric evaluation, and all subsequent follow up appointments
Ensures that there are open slots available on staff schedules for walk-ins and any other unscheduled appointments, and when no shows or cancellations take place, proactively follows up with persons served who may benefit from a sooner appointment
Is cross trained on all support services in same location and will ensure that all administrative and support job responsibilities are followed for all services taking place in same location.
As a backup to the Central Access function, is responsible for all phone calls and e-mail inquiries to the office and in providing information on agency process or area resources.
Follow up by virtual access outreach call to person served who inquired for services but never did paperwork, or for those who completed the paperwork but never came in for services.
Follow up with reminder calls to person served for appointments or to reschedule missed appointments.
Meet and greet person served/referral in the waiting area.
Utilizes positive customer service when answering calls or emails. All calls must be answered “live” and if messages are left, calls must be returned within 2 hours. All emails must be responded to within 3 hours. Faxes must be checked twice/shift.
Explain to new program enrollees their financial responsibilities for the services, including fee schedules, sliding fee scales, and co-pays
Supports CQI efforts and outcome data measurement collection and reporting as well as state, federal or SAMHSA reporting requirements
Ensure ordering of supplies and management of inventories
Responsible for monthly American Express submission of receipts, Purchase Orders, and any needed invoicing
Provides clerical support to the team as needed
As needed, will be trained on, and will provide culturally competent follow up which addresses the diverse needs of the population served and as identified on the needs assessment