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Enrollment / Eligibility Specialist
Bel Air, MD

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Safe Harbor Behavioral Care

Insurance Verification Specialist

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Job Description

Job Summary 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.
Responsibilities 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.
Network Verification:
Check the Master Scheduling List to verify if the assigned counselor is in-network for the client's insurance plan.
Insurance Benefit Verification:
Verify clients' insurance benefits by contacting insurance providers and checking online portals, updating the systems insurance tab with benefit information.
Document Management:
Upload any benefit-related documents to the client's account in the system for reference.
Communication and Documentation:
Add patient comments, to-do items, and billing comments to client records.
Issue Resolution:
Contact clients when encountering difficulties in pulling benefit information, incorrect email inputs, inactive insurance, or secondary insurance conflicts. 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.
Benefit Reverification:
Recheck and verify the benefits of current clients when requested by the billing department, providers, counselors, or clients.
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. 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.
Skills & Abilities:
Demonstrate ability: (a) in exceptional communication and collaboration skills; (b) to interact professionally, compassionately, and effectively with a variety of internal and external customers; (c) to assess, adapt, and calmly respond to changing environment; (d) to make independent decisions consistent with current policies, procedures, and ethical standards; (e) in project management skills (developing and implementing projects from start up to completion with excellence); (f) to create performance metrics and interpret complex data; (g) to be flexible with a passion for continuous growth and learning; (h) to utilize computer and software systems; advanced in Microsoft platforms; (i) in attention to detail with the ability to see the larger picture and vision for the organization.
Job Type:
Full-time Pay:
$20.00 per hour
Benefits:
401(k) Dental insurance Flexible schedule Health insurance Paid time off Professional development assistance Retirement plan Vision insurance
Work Location:
Hybrid remote in Bel Air, MD 21014

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Professional Development
  • Other Retirement and Savings