Insurance Coordinator

General Summary General Summary: Verify and coordinate clients’ insurance and related activities to maximize cash flow by securing initial authorization from 3 rd party payers as required and ensuring ECHO software, payors are current and correct. Verify clients’ 3 rd party insurance/benefits including co-pays, deductibles and claims information by interfacing with payer agencies. Determine clients’ insurance eligibility for services within the scope of Thrive Determine clients’ 1 st party liability and disseminate to appropriate staff. Secure initial authorizations during the intake process and obtain follow-up authorizations as deemed necessary to maximize reimbursements for services. Inform appropriate front desk staff and clinicians with service requirements and first payment fees. Data enter insurance/benefit information and authorization in current agency software, generate documentation, and disseminate to appropriate staff. Maintain accurate, up to date payer contact information. Verify and coordinate insurance eligibility for additional services and/or changes in services. Coordinate insurance/billing changes as they occur with the fiscal office, front desk, and clinician(s). Contact clients as needed to coordinate benefits and verify information. Assist Client Services/Intake with date entry of new clients and assigned client ID numbers as requested. Provide back-up assistance to front desk staff as necessary and/or assigned. Stay up to date with payer changes regarding authorizations and services. Review e-mail account daily for new messages Additional Responsibilities Attend all agency/department required training and meetings within the prescribed period. Attend all Safety Training programs and be able to describe his/her responsibilities related to the general safety, department safety, and specific job-related hazards and responsibilities. Demonstrate respect and regard for the dignity of all clients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment. Embrace Thrive’s Diversity, Equity and Inclusion Mission Statement and Definitions. Present a neat appearance in proper attire and identification as required by the position, department and agency policies and procedures. Work the hours and/or shifts assigned, and begin and end on time. Valid driver's license and automobile insurance which meets Rhode Island minimum standards required, or the ability to obtain necessary transportation in order to perform the responsibilities/tasks of the job. Function, as member of a team, i.e., be a “Team Player”. Qualifications Education, Experience and Competencies Associates Degree or equivalent combination of education and experience required. Three (3) years experience working with government and commercial insurers; managed care companies, and preparing 3rd party billings preferably using a computerized system. One (1) year supervisory experience preferred. Working knowledge of MS Excel, Word, Access and Outlook Certifications, Licenses Requirements Valid driver's license required or ability to obtain necessary transportation in order to perform the responsibilities/tasks of the job. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell. The employee lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus. This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, management reserves the right to modify, add or remove duties and assign other duties as necessary. Reasonable accommodations may be made to assist individuals with disabilities in meeting the expectations of the position. #J-18808-Ljbffr Thrivebhri