Autism Learning Partners is a full-service provider that specializes in the treatment of autism and other developmental disabilities. Our broad thinking approach addresses the whole individual by collaborating with doctors, therapists, schools, and specialists. ALP’s goal is to work with their patients to achieve the best possible outcome… PROGRESS!
An Insurance verification specialist is a health care professional working to ensure that patients' health care benefits cover required procedures. The main focus of a Verification Specialists is to contact a patient's insurance company to verify coverage levels and works with Intake Coordinators to educate them on their benefits information.
Essential Job Functions
- Being proficient in the use of ICD-10 and CPT codes relating to ABA Therapy
- Verifies eligibility of all current and prospective clients
- Determines member benefit coverage by phone, email, fax, or portal.
- Works the Pronto report twice monthly to catch (and update) any changes to patient benefits
- This position requires the Verification Specialists to spend extensive amounts of time on the phone with insurance companies
- Demonstrated knowledge of insurance
- Extensive knowledge of insurance, Regional Centers, Medicaid, and Medi-Cal’s
- Uploading the PIE (private Insurance eligibility form) into CentralReach
- Entering the insurance information into the Meta Data fields in CentralReach
- Supporting in any projects that need to be completed within the intake department
- Perform administrative duties as needed
- Concisely, precisely and accurately document all information into CentralReach
- Research, follow up, and resolve open & pending Insurance verifications in a timely manner
- Maintain strict confidentiality of patient abiding by HIPAA
- Perform other responsibilities as assigned to support Autism Learning Partners, LLC Mission, Vision, and Values
- Maintaining an Insurance folder of key phone numbers, claims addresses, notes, and anything else related to checking benefits with that funding source
- Maintaining an Intake Department password book with all of the log-ins, user names, passwords, and instructions on how to check benefits on that specific portal
- Other duties as assigned by the supervisor
Skills and Abilities
- Excellent computer, multi-tasking, and phone skills
- Proficiency in Microsoft Word and Excel
- Strong Communication skills (both speaking and writing)
- Ability to work well under pressure, juggle tasks and work efficiently against deadlines
- Ability to prioritize multiple assignments and adjust workload accordingly
- Demonstrate strong problem-solving and judgment capabilities
- Strong organizational skills and detail-oriented
Autism Learning Partners supports a diverse workforce and is an Equal Opportunity Employer.
Job Types: Full-time, Temporary
Pay: $20.25 per hour
Expected hours: 40 per week
Benefits:
Application Question(s):
- Can you briefly describe your experience working remote? If you don't have any experience working remote / working from home, just list "N/A"
- To avoid potential conflicts of interest, please answer "Yes" to confirm that you DO NOT have any immediate family members (child, spouse, parent, or sibling) receiving services from Autism Learning Partners, Children's Learning Connection, or A Is For Apple.
Experience:
- Insurance verification: 1 year (Preferred)
- working in a healthcare setting: 1 year (Preferred)
Work Location: Remote
