Insurance Verification Specialist jobs in Rhode Island

CODAC believes in saving lives by understanding the whole person. We tailor patient centered, wrap-around care to meet our patients' needs. CODAC uses evidence based addiction treatment medicine and behavioral healthcare, combined with a compassionate presence. We offer hope for all who struggle with substance use and mental health disorders throughout Rhode Island.

CODAC has been a leader in addiction treatment in Rhode Island for over 40 years. We have 9 locations in two states (RI and MA). CODAC supports employees' career growth by providing education and training in the latest treatment modalities and in sponsoring licensure.

Our innovative programs offer ongoing opportunities for career development in a variety of employment areas. CODAC is committed to providing the support needed by our team to achieve their career goals.

As a non-profit organization, CODAC's benefits package includes: medical and dental insurance, life insurance, a 403b retirement plan, and some tuition reimbursement. Additional benefits include three weeks paid vacation, nine paid holidays, four personal days, earned wellness days annually, and eligibility for student loan forgiveness.

CODAC believes in its team. We welcome you to become a partner in CODAC's vision.

*All Codac Staff Must Be Fully Vaccinated For Covid 19*

We are currently looking for a full time in our Providence location.

MAJOR DUTIES AND RESPONSIBILITIES:

• The Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for services ordered. This includes but is not limited to: private insurance, Medicare, Medicaid, and Rite care.
• Ongoing communication with medical billing department regarding authorization, re-authorization, and retro-authorization of visits
• Provide payers with verbal or faxed clinical status reports, etc., as requested.
• Provide accurate documentation of conversations regarding patients.
• Working knowledge of specific contracts between the agency and various payers
• Ensures that cases are effectively managed according to utilization and authorization, as defined by payer. This function includes documentation and ongoing maintenance of authorization and re-authorization.
• Acting as a resource to patients regarding insurance coverage
• Utilizes sound customer service principles in relating to patients by negotiating effectively, resolving conflicts, seeking management assistance as appropriate, and responding as appropriate and communicating the agency's spectrum of care.
• Scan insurance documents as needed for Accounts Receivable and Billing Department
• Works under the direction of Chief Financial Officer to assist with other duties as directed.
• Electronic and paper filing, including but not limited to patient and insurance company correspondence.
• Answer incoming calls as needed.
• Other duties as assigned.

QUALIFICATIONS:

• High School graduate or equivalent. Associate's or more advanced degree preferred.
• Knowledge of medical terminology
• Minimum of two -years insurance verification experience with knowledge of CPT and HCPCS coding
• Must have experience working with insurance companies, have extensive knowledge of different types of coverage and policies
• Computer literacy
• Excellent phone skills with an emphasis on customer service

Codac Behavioral Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Pay: From $18.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Weekly day range:

• Monday to Friday

Ability to commute/relocate:

• Providence, RI: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: In person