Insurance Verification Manager Jobs in Bloomington, IN

RW Martinsville
504 Grand Valley Blvd
Martinsville, IN 46151, USA

RW Martinsville
504 Grand Valley Blvd
Martinsville, IN 46151, USA

We offer competitivesalaries, full benefitspackage, Paid Time Off, and opportunities for professional growth.

Pinnacle Treatment Centers is a growing leader in addiction treatment services. Weprovidecare across the nation touching the lives of more than35,000 patientsdaily. Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works. Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.

As an AdmissionsManager, you will be responsible forassuring fidelity to internal admissions and fundingprocess, and assignment of intake paperwork and assessments, as well as alignment of patientfunding sources at the time of admission in partnership with the Executive Director.TheAdmissionsManagermonitorsall pending funding andis responsible forensuring follow-up.This may include the completion of benefit verification with insurance companies and othersources. The Admissions Manager interfaces with referral sources, funding sources, teammates,and patients daily.

• 18 daysPTO (Paid Time Off)
• 401k with company match
• Companysponsored ongoing training and certification opportunities.
• Full comprehensive benefits package including medical, dental, vision, short term disability, long termdisabilityand accident insurance.
• Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
• Discounted tuition and scholarships through Capella University.

Requirements:

• Bachelor’s degree in one of the behavioral science disciplines (psychology, social work, etc.) from an accredited college oruniversityOR equivalent experience conducting client/patient admissions.
• 2 years’ experience supervising others.
• Working knowledge in substance use disorders and/or mental health, in an addiction treatment facility
• Ability to travel up to 25% as needed

Preferred:

• Graduate degree in business or one of the behavioral science disciplines (psychology, social work, etc.) from an accredited college or university.
• 3 years of experience working in behavioral health.
• 5 years’ experience supervising others.

Responsibilities:

• Assistwith the recruitment, hiring, and training of new teammates.
• Providesupervision, guidance, and direction in daily operations and training to teammates, including making schedules, setting performance standards, and monitoring performance.
• Complete 90-day and annual FOCUS reviewstimelywith goals for continual improvement.
• Encourage and build mutual trust, respect, and a cohesive, yet challenging work environment for all teammates.
• Comply withorganizational policies, procedures, and performance improvement initiatives.
• Be present and engaged in meetings and required training opportunities.
• Have a working knowledge of allPTC (Pinnacle Treatment Center)lines of business (RTC,OTP, Detox, etc.) to ensure understanding ofappropriate referrals.
• Serve as a link between Admissions and other departments to ensure the efficient transfer of information essential to operations.
• Coordinate and oversee all incoming admissions and track all pending discharges to ensure beds are filled and not leftopen forlengthy periods of time.
• Maintainthe client/patient census, meeting targeted goals, as well asreport outdaily toidentifiedgroups on admissions, discharges, and overall census.
• Provideculturally sensitive and relevant services to diverse clients/patients and their families.
• Work with HMO’s, counties, other funding sources, and the admissions team to ensure that client/patient funding is in place prior to admission.
• Maintainconsistent communication with clinical counseling team and department managers (whereappropriate)to ensure that clients/patients are continuously funded throughout their stay.
• Maintainan ongoing, continuously updated, inquiry list, admissions list, client/patient list, catalogingpast,andpresent, and potential admissions activity.
• Collect intakestatistical and demographic data.
• Work closing with the billing and finance departments to troubleshoot billing/financial concerns as they arise as related to the admission process.
• Report directly to the Executive Director concerning all matters relating to admissions.
• Using Electronic Health Records,maintainaccurateclient records as they relate to authorizations, service agreements, self-pay transactions, and other billing scenarios as they arise.
• Ensure all record requests, subpoenas, court orders, and other types of communication requesting client/patient information aresubmittedtimelyto the medical records team.
• Act asliaisonwith other service providers.
• Attendteam meetings and complete all trainingcoursestimelyasrequired.
• Other duties as assigned.

Join our team. Join our mission.

:

:

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.