Insurance Specialist - Behavioral Health

Insurance Specialist

Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is seeking a full-time Insurance Specialist to support the HUB site in the Bronx, NY.

Position Summary:

The Insurance Specialist coordinates insurance benefits for patients including but not limited to enrollment/disenrollment processes, restrictions, visit authorizations, and payments for services. Performs clerical duties, acts as receptionist, coordinates patient appointments, and communicates with all disciplines.

Job Type: Full-Time

Pay Range: $21.00 to $24.35 per hour

Essential Duties and Responsibilities

• Coordinates reception/front office operations duties – Greet and register all patients as they arrive, perform insurance verification/MUT preparation, schedule appointments, answer calls, take messages and other similar clerical tasks when indicated
• Verify insurance coverage and obtain necessary authorization for medical/dental/behavioral health visits
• Adheres to Front Desk Protocol for patient flow (1. Reception, 2. Registration, 3. Discharge and follow up appointments)
• Coordinates discharge process when indicated - schedules, all f/u appointments, prior approvals, etc
• Handles complex insurance issues as necessary including but not limited to restrictions, verifications, and visit authorizations
• Point person for patients who are designated as self-pay, providing information on services and cost of care
• Serves as a resource to patients regarding insurance enrollments, restrictions, deductibles and co-payment information and collection
• Serves as a resource to registrar staff for source of insurance information and direction
• Assist with the enrollment process in Medicaid Managed Care plans
• Conforms to policies and regulations governing patient rights and confidentiality of information

Requirements:

• Minimum Education Requirement: High school diploma/ GED
• Minimum Work-Related Experience: 2-4 years
• Preferred Skills: Bilingual in Spanish (Oral and written)

Join us at Sun River Health and be part of an award-winning network of care that has been serving our communities since 1975. We are always looking for skilled and dedicated professionals to join our team and help us continue our mission of providing quality health care to all.