Benefit Verification Specialist

Position Summary

Position is responsible for obtaining insurance verifications for clients seeking admission to psych treatment services. The position will support finance and admissions functions across multiple locations, helping patients gain access to life changing treatment programs.

Relationships and Contacts

Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within both Renaissance Healthcare Group and Odyssey.

Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.

Position Responsibilities

Essential Responsibilities

1. Verifies client insurance benefit information.

2. Verifies specific benefits and documents specifics for various plans.

3. Verifies client responsibility such as deductibles and co-insurance.

4. Identifies any coverage restrictions.

5. Obtains authorizations, pre-certifications and referrals.

6. Reports reimbursement trends and barriers to leadership.

7. Ensures work is performed in compliance with all company and regulatory requirements, protecting the privacy of client information.

8. Communicates benefit information to all necessary team members in a timely and accurate manner.

9. Manages and uploads patient scanned documents such as insurance authorizations

10. Reviews patient accounts

Additional Responsibilities

1. Provide backup for Revenue Cycle Specialists, as needed.

2. Attends team meetings and trainings, as assigned.

3. Performs other duties as assigned.

Minimum Requirements

Education and Experience

Position requires a high school diploma, bachelor’s degree preferred, and two (2) years of directly related experience.

Physical Requirements

· While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors

· Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time

· While performing the duties of this job, the employee may be required to talk or hear, sit, stand or walk.

Skill Competencies

· Demonstrates strong problem solving and analytical skills

· Demonstrates strong customer service skills

· Demonstrates proficiency with Microsoft Office (Word and Excel)

· Demonstrates excellent organizational and time management skills

· Demonstrates successful collaborative skills working with a variety of groups

· Demonstrates strong attention to detail

· Demonstrates functional knowledge of basic behavioral health terminology

· Demonstrates familiarity with insurance billing policies and practices

· Demonstrates commitment to the vision and values of Odyssey Behavioral Healthcare

Odyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”