Insurance Verification Specialist

Overview

A Little About our Awesome Company:

For over 22 years, Behavioral Innovations has been providing center-based, evidence-based ABA Therapy across Texas, Oklahoma, and Colorado. Our Culture of excellence, teamwork, and care is guided by our core values and mission. Join us in making a positive impact on the lives of children diagnosed with autism and other developmental disorders. At Behavioral Innovations (BI), our values drive us every day. Recognized with the Clinical Excellence Award in 2021, crowned Company of the Year in 2022, and listed on the prestigious Inc. 5000, we are proud to be one of America's Fastest Growing Private Companies.

Position Summary:

The Insurance Verification Specialist, under general supervision, provides internal personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled. Must be able to communicate with insurance companies and clients from a resolution-based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts.

Why choose Behavioral Innovations:

• Daily Pay: Access your pay when you need it!
• Wellbeing Program: Equipping you with tools to achieve your wellness goals.
• OVIA Health: A Women's Health App supporting you throughout the entire Parenthood Journey.
• Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
• 100% Tuition Reimbursement Program:We invest in your education for career advancement opportunities, including the path to becoming a BCBA.
• Supportive Team Structure: Our clients and families are our top priority, and we foster a collaborative and expert team environment.
• Additional Programs Offered at BI: ABA Intern, Referral Bonuses, Employee Recognition, Employee Perks.
• Career Advancement Opportunities: Ongoing training & Professional development for all employees.
• Insurance: Medical, Vision, Dental, and Supplemental Insurance Policies.
• University Partnerships: Enjoy tuition rate discounts.
• Pet Insurance!

Duties & Responsibilities

• Communicates timely with the internal revenue cycle team and collaborates effectively with the center staff to ensure financial clearance of the patient's account prior to scheduled or unscheduled services.
• Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe.
• Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.
• Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.
• Completes appropriate payor forms related to notification and authorization.
• Calculates accurate patient financial responsibility.
• Basic proficiency with Microsoft Word/Excel
• Perform any other duties assigned

Requirements:

• Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
• Must have the ability to consistently meet performance standards of production, accuracy, completeness, and quality.
• Ability to understand and adhere to payer guidelines by plan and service type.
• 2 years of healthcare or customer service experience preferred.
• Take the initiative to identify and resolve issues
• Demonstrate resourcefulness and cooperation
• Exhibit BI's core values in all interactions
• Willing to learn and take on new tasks
• Exhibit high quality work
• Use excellent judgment
• Communicate clearly

Be an Insurance Verification Specialist at Behavioral Innovations.

Where Potential Thrives.

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