Insurance Verification Specialist
Brandywine Counseling and Community Services, Inc, Lancaster, PA, United States
Insurance Verification Specialist
BCCS is Seeking an Insurance Verification Specialist!
Since 1985, Brandywine Counseling & Community Services, Inc. (BCCS) has been a trusted provider of outstanding substance abuse and behavioral health treatment. BCCS is a community organization that prides itself on helping members of our community recover with dignity. We enhance the quality of life by creatively providing Education, Advocacy, Prevention, Early Intervention, and Treatment Services. We promote hope and empowerment to persons and families touched by mental illness, substance abuse, HIV and multiple occurring diagnoses, and their related challenges.
What You'll Do at BCCS:
The Insurance Verification Specialist is primarily responsible for verification, authorization, documentation, communication with and problem resolution
Assist in real-time insurance verification to help front-end staff interpret the collections protocol for each of our payers
Verification: Confirm active coverage and eligibility via insurance portals or phone calls. Ensure insurance is verified for upcoming appointments.
Lead insurance verification efforts in real time to ensure that co-pays, co-insurance, and deductibles are met according to the health insurance guidelines daily.
Pre-authorization & Authorization: Obtain pre-authorizations or referrals required by insurance companies for specific treatment services. Responsible for submitting documentation to support necessity
Track authorization status and follow up with payers
Documentation: Accurately update patient records with insurance details, policy limitations, and deductibles.
Problem Resolution: Address insurance discrepancies and denials to minimize unpaid bills.
Communication: Advise patients of their financial responsibility and coverage limitations.
Ensure any changes to client insurance are reflected in EMR at 100% and communicated between the treatment program and billing department.
Negotiation and Payment Plans: Work with debtors to establish structured repayment arrangements, balancing timely collection approved by Program Manager.
Report client statement irregularities/mistakes
Supports staff in assigned project-based work.
Travel when necessary to a site when the collection process is not followed, and/or when support is necessary
Knowledge, Skills, and Abilities:
Computer knowledge (Microsoft Office), proficiency with computer systems and insurance portals.
Writing, analytical and problem-solving skills
Basic office procedures, including answering telephone, typing and operating business machines, word, and excel.
Familiarity with medical terminology and insurance plans (HMO, PPO, Medicare, Medicaid). Interprets literature from a variety of sources within the billing department, including medical billing codes, and billing terminology.
Oral and written communication skills, presentation skills, organizational and computer skills.
Planning, organizational, and time management skills.
Attention to detail & time management skills
Creativity and resourcefulness in problem-solving situations
Schedule:
Monday Friday
6:00 a.m. - 2:00 p.m.
Salary:
From $22/hour
Commensurate based on experience and education
Qualifications for this position are:
REQUIRED:
High School Diploma
REQUIRED:
Minimum of 2 years' experience in Accounts Receivable
REQUIRED:
Minimum of 2-years of Insurance Billing/Verification/Collections
REQUIRED:
Valid Driver's License with 2 Points or Less. Traveling to other sites is required when the collection process is not followed, and/or when support is needed
PREFERRED:
Associate degree
PREFERRED:
Usage of various billing platforms
The compensation package for this position includes:
Group medical, dental and vision coverage with low employee costs
34 paid days off annually
Tuition reimbursement
A retirement plan with a company match of up to 4%
Brandywine Counseling is a qualified employer for Public Service Loan Forgiveness (PSLF)
Opportunity for advancement
BCCS is Seeking an Insurance Verification Specialist!
Since 1985, Brandywine Counseling & Community Services, Inc. (BCCS) has been a trusted provider of outstanding substance abuse and behavioral health treatment. BCCS is a community organization that prides itself on helping members of our community recover with dignity. We enhance the quality of life by creatively providing Education, Advocacy, Prevention, Early Intervention, and Treatment Services. We promote hope and empowerment to persons and families touched by mental illness, substance abuse, HIV and multiple occurring diagnoses, and their related challenges.
What You'll Do at BCCS:
The Insurance Verification Specialist is primarily responsible for verification, authorization, documentation, communication with and problem resolution
Assist in real-time insurance verification to help front-end staff interpret the collections protocol for each of our payers
Verification: Confirm active coverage and eligibility via insurance portals or phone calls. Ensure insurance is verified for upcoming appointments.
Lead insurance verification efforts in real time to ensure that co-pays, co-insurance, and deductibles are met according to the health insurance guidelines daily.
Pre-authorization & Authorization: Obtain pre-authorizations or referrals required by insurance companies for specific treatment services. Responsible for submitting documentation to support necessity
Track authorization status and follow up with payers
Documentation: Accurately update patient records with insurance details, policy limitations, and deductibles.
Problem Resolution: Address insurance discrepancies and denials to minimize unpaid bills.
Communication: Advise patients of their financial responsibility and coverage limitations.
Ensure any changes to client insurance are reflected in EMR at 100% and communicated between the treatment program and billing department.
Negotiation and Payment Plans: Work with debtors to establish structured repayment arrangements, balancing timely collection approved by Program Manager.
Report client statement irregularities/mistakes
Supports staff in assigned project-based work.
Travel when necessary to a site when the collection process is not followed, and/or when support is necessary
Knowledge, Skills, and Abilities:
Computer knowledge (Microsoft Office), proficiency with computer systems and insurance portals.
Writing, analytical and problem-solving skills
Basic office procedures, including answering telephone, typing and operating business machines, word, and excel.
Familiarity with medical terminology and insurance plans (HMO, PPO, Medicare, Medicaid). Interprets literature from a variety of sources within the billing department, including medical billing codes, and billing terminology.
Oral and written communication skills, presentation skills, organizational and computer skills.
Planning, organizational, and time management skills.
Attention to detail & time management skills
Creativity and resourcefulness in problem-solving situations
Schedule:
Monday Friday
6:00 a.m. - 2:00 p.m.
Salary:
From $22/hour
Commensurate based on experience and education
Qualifications for this position are:
REQUIRED:
High School Diploma
REQUIRED:
Minimum of 2 years' experience in Accounts Receivable
REQUIRED:
Minimum of 2-years of Insurance Billing/Verification/Collections
REQUIRED:
Valid Driver's License with 2 Points or Less. Traveling to other sites is required when the collection process is not followed, and/or when support is needed
PREFERRED:
Associate degree
PREFERRED:
Usage of various billing platforms
The compensation package for this position includes:
Group medical, dental and vision coverage with low employee costs
34 paid days off annually
Tuition reimbursement
A retirement plan with a company match of up to 4%
Brandywine Counseling is a qualified employer for Public Service Loan Forgiveness (PSLF)
Opportunity for advancement