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Job description

Northeast Health Services is an established network of behavioral health clinics that, out of a passion for providing superior patient care, is empowering our clinicians and customer service teams to provide easy access to high quality, outcomes-based care to all those that need help, and when they need it most.

Our vision is to create a united, centralized network of accessible, multi-specialty clinics that offer immediate, superior behavioral health treatment options. We provide our employees with the opportunity to grow, learn and expand their skills! We are growing rapidly and want to talk to you about what that looks like for you and your career!

We are currently adding an Insurance Verification Specialist to our growing team!

Position Summary:
The Insurance Verification Specialist (IVS) is responsible for verifying insurance coverage and plan benefit information for consumers across multiple clinics and for documenting coverage in the electronic health record to allow for timely and accurate billing. The specialist will be knowledgeable of insurances in the market, with emphasis on behavioral health coverage, coinsurances, deductibles, and self-pay clients. The IVS will run insurance verifications, prior authorizations, and verifications of benefits for specialized procedures such as interventional psychiatric services. IVS will communicate directly with clients (in some cases) and also have constant communication with site front office administrative staff to support any insurance questions. Ability to use multiple systems including but not limited to Valant, Nextiva, Insurances site portals, Outlook, Teams, Dr.First, Doxy, and any other internal and external systems needed for insurance purposes. Strong ability to multitask and support 13+ sites and growing with insurance verifications.

About The Role:

• Serve as insurance subject matter expert to increase accuracy in insurance documentation and to provide technical assistance to administrative staff and clients around insurance coverage, deductibles, copayments, etc.
• Data entry of new insurance information into HER
• Run batch eligibility checks and manage exception reports
• Research errors in insurance data entry and provide feedback to billing and clients as needed
• Verify insurance for any clients in collaboration with the front office, central intake, and billing teams
• Educate and train new administrative staff on batch eligibility check, entering insurance into Valant, and verification of insurances as needed
• Conduct prior authorizations as needed
• Process referrals as needed
• Additional duties responsibilities as assigned by supervisor

About You:

• High school diploma or equivalent
• Possess strong computer skills and the ability to use multiple systems, i.e. Microsoft Teams, email
• High multitasking skills
• Ability to work independently
• Associated Degree or Certificate in Insurance Verification and Referrals
• Knowledge of behavioral health care insurance

Benefits:

• Health and Dental Insurance
• Vision
• 401k match plan
• Paid Time Off