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Discovery Behavioral Health

Insurance Verification Specialist

Discovery Behavioral Health, Irvine, California, United States, 92713

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Insurance Verification Specialist

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Discovery Behavioral Health

Position Summary Responsibilities include effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers. Good verbal and written communication are required. Record keeping must be accurate and thorough. You will obtain correct detailed insurance company benefit information either by speaking personally with the insurance company reps or via the web within a tight turnaround time. Flexibility with schedule so that you can meet critical deadlines as established.

Essential Job Functions

Review of data on insurance policies to ensure accurate claiming

Verify patient eligibility, coordinate benefits, and determine patient coverage

Verify patient insurance coverage, to ensure necessary procedures are covered by an individual's provider

Enter data in an accurate manner, verify that existing information is accurate

Re-verify insurance verifications to ensure that proper benefits are given

Provide clients with pertinent information regarding their coverage

Maintain confidentiality of patient care and business

Accurate and thorough records must be kept

Work collaboratively with Admissions, Utilization Review, and Billing Department

Provide staff with resources to help coordinate client's aftercare referrals/appointments

This is a full-time position that will work Monday - Friday.

Knowledge, Education, and Experience

Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefit as well as co-pays and deductibles)

Coding/Billing Certificate from an accredited institute or school preferred

1-year minimum healthcare insurance verification experience or medical front desk experience conducting insurance verifications is preferred

Knowledge of SUD, inpatient, outpatient, eating disorder and Mental Health programs

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