[Hiring] Insurance Verification Specialist @ThreePeaks Ascent

Role Description

The Ascent Programs are a group of licensed, accredited therapeutic programs located in Utah. We have 30+ years of experience using evidence-based practices to help families heal. As our Insurance and Medical Records Specialist, you will be responsible for:

• Verifying insurance benefits
• Updating admissions teams
• Educating families
• Managing medical records
• Submitting medical records to payors
• Maintaining organizational compliance while following all HIPAA regulations

You play a crucial role in helping make life-saving treatment accessible for families needing help with their child's mental health.

Responsibilities

• Ensure timely and accurate verification of benefits for commercial and Medicaid insurance coverage related to Behavioral Health coverage
• Responsible for timely responses to insurance exclusions, monitoring for trends, and providing feedback on operational processes
• Process and respond to requests for information and records from insurance companies
• Invoice patient co-pays and deductibles, manage private pay collections and A/R
• Make recommendations on adjustments and outside collection activity in alignment with company policy and procedures
• Partner with the utilization review team to ensure timely verification and medical records requests to third party payors
• Participate in regular billing coordination meetings and provide feedback for problem solving
• Provide feedback to the program on ensuring compliance while maximizing revenue
• Ensure clinical data and case notes support clinical needs and clients receive proper therapeutic interventions
• Maintain thorough documentation of all activities
• Participate in performance improvement activities
• Respond to customer inquiries both by telephone and email
• Work within an established lead management software system

Qualifications

• High school Diploma
• Able to pass background criminal investigation checks
• Eligible to work in the USA
• Proficient in basic computer programs
• Proficient in communicating, both verbally and in writing, in English
• Reflective listening skills
• Empathetic
• Clear, honest communication
• Experience working in a remote setting

Preferred

• Some college
• Billing and coding knowledge
• Professional experience in a treatment facility
• Professional experience working with commercial insurance

Benefits

• Health, dental, vision, accident, critical illness, and other insurance plans available after probationary period for full-time employees
• Employer contributions to Health Savings Account (HSA)
• Free Employee Assistance Program (EAP)
• Continued professional development & certification opportunities