Insurance Verification Specialist

This role is a key team-player position in a constantly busy environment that requires accuracy, attention to details, initiative and a pro-active approach to duties and responsibilities while working with individuals in service, clinical team and co-workers. The qualified applicant must demonstrate a positive attitude, considerable latitude for independent judgment, professional ethics, appearance and conduct.

Primary Duties:
• Receive Insurance Verification Form
• Verify Insurance Benefits and call the individual to go over benefits.
• Enter all insurance information into the medical record and ensure all financial components are in place after the initial financial and all financial updates are submitted for review.
• Regular insurance verification as needed.
• Serve as back up for other support staff as needed.

Additionally:
• Call the individual to go over benefits and if they are not currently receiving services at LPC, review the Open Access process.
• Complete log of all Verifications
• Schedule Prep for Prescribers
• Verify Current Insurance on file.
• Check for any balance(s) due.
• Verify that client has current UA and TP.
• Acts as a responsible member of the team. Works cooperatively with individuals and staff to meet the needs of individuals while following agency procedures.
• Understands and promotes trauma informed care practices.

If Bilingual and receiving stipend, employee will be available to translate for other staff as needed and will utilize approved language in the provision of services as needed.

This position requires reasonable flexibility to meet the needs of the community and the individuals and families we serve. Employees may be required to work outside of their typical schedule, including occasional evening hours, when necessary to accommodate family availability.

Qualifications

Education, Training and Experience (including licensure and certification)
• High School Diploma or general education degree (GED)
• Three (3) years’ experience working in a medical office, agency, or hospital with knowledge of scheduling,
insurance verification, billing & collections (especially Medicaid, Medicare, & Private Insurance), data entry, and
general office management experience in general office duties.

Knowledge, Skills and Abilities
• Knowledge and experience in performing medical office duties.
• Must be knowledgeable in computer programs such as MSWord and Excel.
• Must be professional and knowledgeable of customer service skills.
• Must be knowledgeable of Medicaid, Medicare, and Private Insurance billing practices.