Verification of Benefits Specialist

About the position

This role is responsible for overseeing and managing the verification of benefits process ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Responsibilities

• Verifies insurance policy benefits for new and returning patients with payers
• Assures all insurance information has been completely and accurately obtained
• Document all pertinent insurance information into SalesForce
• Informs teams of support actions necessary for insurance or referral issues
• Identifies special policy clauses per policy information to aid in financial and admission decisions
• Educates patients, families and internal teams on insurance issues
• Identifies all third party financial benefits and directs them for financial counseling and revenue cycle as appropriate
• Provides support to admissions and revenue cycle teams as necessary
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account
• Other duties as assigned

Requirements

• 3-5 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management
• Knowledge of medical billing practices, office policies and procedures
• Knowledge of all confidentially requirements regarding patients and strict maintenance of proper confidentiality on all such information
• Excellent written and verbal communication skills
• Organizational skills
• Ability to maintain a high level of integrity and confidentiality of medical information
• Strict attention to details
• Able to work a hybrid schedule of 4 days per week in our Nashville office and located within 75 minutes' commuting distance of the office

Benefits

• Comprehensive benefits to all full-time, exempt employees