Insurance Verification Specialist

Insurance Verification Specialist

Come grow with us! Elite DNA Therapy Services is one of the largest providers of behavioral and mental health services in Florida and we're expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally.

We are hiring a Full-Time Insurance Verification Specialist for our organization. Our goal is to hire you the best talent to support our mission and allow you to grow with us.

We thrive on a mutual goal of providing excellent care to our patients through our comprehensive care services and collaborative culture. Elite DNA Therapy Services was the first to develop a care coordination approach to mental health, where all patients are matched with their ideal services and providers prior to receiving direct care. Our team is at the forefront of providing leading-edge therapy services from psychotherapy to psychiatry to specialized programs such as psychosocial rehabilitation, EMDR, and group therapy.

Everything we do here at Elite is guided by integrity and compassion for our patients and employees.

When you join the Elite DNA team, you'll feel proud to be a part of the group that helps children, adults and families in our communities live better lives.

We are seeking a detail-oriented and customer-focused Insurance Verification Specialist to join our healthcare team. In this role, you will be responsible for verifying patient insurance coverage, ensuring accurate billing processes, and supporting our commitment to providing exceptional patient care. If you have strong communication skills and a keen eye for detail, we invite you to apply and become part of our dynamic organization.

Key Responsibilities:

• Verify patient insurance coverage and benefits prior to service delivery
• Obtain and document insurance information accurately from patients and insurance providers
• Review and interpret insurance policies to determine coverage and authorization requirements
• Communicate effectively with patients, insurance companies, and healthcare providers regarding coverage and authorization issues
• Assist with resolving insurance-related billing discrepancies and denials
• Maintain up-to-date knowledge of insurance policies, procedures, and industry regulations
• Ensure compliance with all privacy and confidentiality standards related to patient information

Skills and Qualifications:

• High school diploma or equivalent; additional certification in healthcare administration or insurance preferred
• Proven experience in insurance verification, billing, or related healthcare roles
• Strong understanding of insurance plans, coding, and billing procedures
• Excellent communication and interpersonal skills
• Attention to detail and strong organizational abilities
• Ability to work independently and as part of a team in a fast-paced environment
• Proficiency with electronic health records (EHR) systems and billing software

Join our organization and be part of a supportive, growth-oriented environment that values professionalism and continuous improvement. We offer competitive benefits and opportunities for career advancement in the healthcare industry.

Requirements:

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Minimum one (1) year of insurance verification, patient access, registration, medical billing, or healthcare revenue cycle experience preferred.
• Experience verifying commercial, Medicare, Medicaid, and managed care insurance plans preferred.
• Behavioral health experience strongly preferred.
• Knowledge of prior authorization processes and payer guidelines preferred.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication skills.
• Ability to prioritize workload and meet deadlines in a fast-paced environment.
• Proficient in Microsoft Office applications and electronic health record systems.
• Athenahealth experience is preferred but not required.

Competencies:

• Attention to Detail
• Customer Service
• Critical Thinking
• Time Management
• Problem Solving
• Teamwork and Collaboration
• Professional Communication
• Accountability
• Adaptability
• Confidentiality and HIPAA Compliance

Working Conditions:

• Primarily office-based with prolonged periods of sitting and computer use.
• May require occasional telephone communication with patients, insurance companies, and provider offices.
• Ability to maintain confidentiality of protected health information at all times.

Why Join Elite DNA Behavioral Health?

At Elite DNA Behavioral Health, our mission is to improve the lives of our patients through compassionate, accessible, and high-quality behavioral healthcare. We foster a culture built on respect, collaboration, innovation, and continuous improvement, providing our team members with the support and resources needed to succeed while making a meaningful impact in the communities we serve.