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Credentialing/Insurance Verificaiton Specialist

Refresh Mental Health Mount Airy, MD
  • Posted: over a month ago
  • $13 to $16 Hourly
  • Full-Time
  • Benefits: Vision, Medical, 401k, Dental

Minimum Qualifications

  • Education/Training
    • High school graduate or equivalent. Associate’s Degree preferred.
  • Experience
    • 5 years of related office experience, preferably in outpatient registration and insurance verification.
  • License/Certification/Registration
    • No special certification, registration or license required, but will be highly regarded
  • Knowledge, Skills & Abilities
    • Excellent telephone etiquette, interpersonal communication and customer service skills.
    • Basic computer skills and an ability to type at least 40 WPM.
    • Knowledge of the Care Cloud scheduling/registration system and/or other automated scheduling/registration system preferred.
    • Knowledge of medical and insurance terminology is a must.
    • Ability to perform in a high pressure environment.
    • Ability to organize and prioritize work.
    • Problems presented may require advanced analytical skills and highly developed communication/service delivery skills in order to successfully handle anxious or confused patients.

Primary Duties and Responsibilities:

a.Works insurance claim denials in a timely fashion to insure correct processing / payment is received

b. Processes / Runs monthly reports for 30, 60, 90 Patient balances

c. Collects appropriate balances due from patients

d. Processes / Runs monthly reports for 30, 60, 90 Insurance balances

e. Disputes claims with the insurance for improper processing / payment

f. Calculate appropriate patient fees based on the proper insurance fee schedule

g. Verification of benefits online and by phone

h. Acquires appropriate authorization/s for visits within a timely fashion

i. Follow ups on authorizations pending an approval

j. Obtain patient PCP referrals when required for HMO plans

k. Notifies patients when a provider is not a network participant

l. Completes the ‘Daily Check-In’ to the fullest ability with accuracy

m. Notifies patients about fees due upon arrival

Hours and Pay:

Monday through Friday 9:30 AM-6:00 PM

Salary is dependent on experience and ability to assume a variety of roles. Testing administered after the interview process to determine aptitude and skill level personality etc.

Refresh Mental Health

Refresh Mental Health is the parent company of premiere outpatient mental health, substance abuse & eating disorder practices across the US. We are one of the largest and fastest growing private behavioral health companies in the US with 1000+ clinicians in over 25+ practices, with 100+ office locations in 20 states and growing. We are actively seeking partnerships with counselors, therapists and other behavioral healthcare providers nationwide. Our goal is to provide an excellent working environment and resources for clinicians, so they can focus on what they do best — providing exemplary care to clients. See Open Positions for all of our Clinics and Offices at https://www.refreshmh.com/join-our-team/careers/ EEO Statement Refresh is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Refresh is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Address

1311 South Main Street, Suite 202, Mt. Airy, MD 21771
Mount Airy, MD
USA

Website

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