As an Insurance Verification Specialist for Team 3, you will play a crucial role in ensuring that clients have the necessary insurance coverage to access our services while providing exceptional customer service. You will be responsible for verifying insurance information, updating client records, and communicating with clients and team members to facilitate efficacy within the intake process. The incumbent will be required to have strong attention to details and organizational skills. Excellent communication skills, both written and verbal, are essential for the Insurance Verification Specialist, along with proficiency in using software and online portals for insurance verifications. The incumbent will possess the ability to work collaboratively in a team-orientated environment. The specialist may also handle additional responsibilities and projects as assigned.
Position Responsibilities
1. Client Data Review: Access client records in Safe Harbor’s electronic systems and ensure that all required information is complete, including demographic details, comments, credit card information, and insurance information.
2. Network Verification: Check the Master Scheduling List to verify if the assigned counselor is in-network for the client’s insurance plan.
3. Priority Management: Prioritize clients based on the date of their appointment to ensure efficient processing.
4. Insurance Benefit Verification: Verify clients’ insurance benefits by contacting insurance providers and checking online portals, updating the systems insurance tab with benefit information.
5. Document Management: Upload any benefit-related documents to the client’s account in the system for reference.
6. Communication and Documentation: Add patient comments, to-do items, and billing comments to client records.
7. Confirmation Process: Send confirmation emails to assigned counselors and provide clients with portal access along with any necessary documents.
8. Issue Resolution: Contact clients when encountering difficulties in pulling benefit information, incorrect email inputs, inactive insurance, or secondary insurance conflicts.
9. Client Support: Address and answer any questions clients may have about their insurance benefits and quotations provided.
10. Disposition List Management: Update the Team 2 dispositions list once confirmation is sent, and follow up on unconfirmed appointments, providing detailed comments on the reason for non-confirmation.
11. Team Collaboration: Notify the Team 2 team member who scheduled the appointment when unable to confirm benefits and communicate any reasons for the delay.
12. Out-of-Pocket (OOP) Conversions: If an appointment needs to be changed to out-of-pocket status, capture a snapshot of insurance information, and upload it into documents. Updated cash rates, patient comments, to-do items, and billing comments. Send a confirmation email to the counselor and provide clients with portal access to the necessary documents.
13. Benefit Reverification: Recheck and verify the benefits of current clients when requested by the billing department, providers, counselors, or clients.
14. Communication Management: Forward provider and counselor responses to confirmation emails, including request for rescheduling, counselor transfers, or client-related questions, to the Team 2 member who scheduled the appointment, copying your manager.
15. Other duties and projects as assigned.
Qualifications
Education
High school diploma or equivalent, associate degree or related certification preferred.
Experience
Prior experience in benefits pertaining to mental healthcare or business-related field preferred.
Job Type: Full-time
Pay: $18.00 - $19.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Weekly day range:
Experience:
- Insurance verification: 1 year (Required)
- Medical billing: 1 year (Preferred)
Ability to Commute:
- Bel Air, MD 21014 (Preferred)
Work Location: Hybrid remote in Bel Air, MD 21014