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APALACHEE CENTER

Insurance Verification Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$44,207 / year median in Florida

+17% projected growth

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Job Description

Job Description Help for Job Description. Opens a new window.
Insurance Verification Specialist Job Location:
Tallahassee Position Type:
Full Time Salary Range:
$15.00
Hourly Job Category:
Other Description:
Apalachee Center, Inc. is best known for helping individuals and families of North Florida succeed in recovering from emotional, psychiatric, and substance abuse crises. Apalachee Center, Inc. provides comprehensive behavioral health services across 8 counties (Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, and Wakulla Counties). Apalachee Center, Inc. offers competitive benefits for our full-time positions to include health, dental, vision, basic life insurance, long term disability, paid time off, and more.
Overview:
Primary role will be insurance verification, communicating with payers/providers, program staff, patients, and insurance companies.
ESSENTIAL/CORE JOB-SPECIFIC DUTIES AND RESPONSIBILITIES
Responsible for verifying clients' eligibility, benefits, and insurance coverage for behavioral health services by using the various insurance web portals and clearinghouses and by calling the plans. Responsible for obtaining copay and deductible amounts and entering the information in the EMR system. Responsible for acting as a liaison between patients, program staff, and insurance carriers to ensure all information is collected and is correct. Responsible for answering patient and insurance company inquiries.

Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources. Assist with reviewing aged receivables report and completing follow-up and adjustments as needed. Assists in training new employees on verifying insurances. Other duties as assigned by the Director.
Qualifications Education/Experience:
A high school diploma or its equivalent. One year of verifying insurances in a medical office or hospital. Must have excellent telephone/customer relations skills and computer experience