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.
Flexible 8 hour shift worked between 6:00 AM and 6:00 PM At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest—with 2,000+ team members across 80+ locations in five states—we offer the stability and resources to help you thrive. Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point. Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values—Humility, Optimism, People-Centered, and Ethical Practice—we provide manageable caseloads, flexible schedules, and compensation options that work for you—from salary to production-based models. We are currently seeking a full-time Insurance Specialist to join our Arden Hills, MN Business office. In this role you will execute the fast-paced task of verifying insurance eligibility for patients. This role ensures all insurance benefits are verified, provider eligibility is verified per insurance carrier, and authorization requirements are received in a timely manner to ensure optimal reimbursements.
Full Time Benefits:
Medical, Dental, Vision
401k, Long Term Disability, Short Term Disability and Life Insurance
Paid Time Off, and Holidays Responsibilities:
Verification of Insurance Eligibility/Benefits for
OP, ARMHS \\& CTSS
services.
Initiate necessary Authorizations/Referrals as needed.
Completing the auth process as applicable.
Appointments are flagged accordingly.
Field/Resolve provider/clinic inquiries via Email or Task.
Inquiries are followed up within 24 hours of creation.
Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
All other duties as assigned by Management.
Requirements:
High School Diploma or equivalent
Ability to work on dual monitors.
Ability to work in multiple software programs- Experience with Excel is preferred.
Minimum of two years working in health care facilities preferred, particularly with insurance verification and knowledge of prior authorization process.
Familiarity with insurance company guidelines and HIPAA regulations. Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE. Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
