INTERNAL ONLY - Insurance Change Specialist jobs in United States
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Action Behavior Centers - ABA Therapy for Autism · 2 weeks ago

INTERNAL ONLY - Insurance Change Specialist

Action Behavior Centers is focused on providing ABA therapy for autism, and they are seeking an Insurance Change Specialist to support their Revenue Cycle Management team. This role involves communicating financial changes to patients' families, educating them about the billing process, and managing patient information regarding insurance coverage.

Health Care
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Growth Opportunities

Responsibilities

Schedule meetings with all new ABC patients and existing ABC patients that have had changes to their existing insurance coverage to review the impact of ABC policy related to their patient responsibility
Review the verified benefits with the family to confirm the Maximum Out of Pocket (MOOP) and the expected financial responsibility for treatment
Explain the ABC billing process to educate the family on how their insurance will be billed and how the patient billing process works
Confirm all patient demographic data and primary contact information (phone, email, address, etc.)
Collect credit card information and get approval for monthly payment deductions based on the expected patient responsibility and entering those details into Salesforce
Review obligations of the family if there are any changes/updates to their employment or insurance coverage
Confirm completion and submission of charity care application and required supporting documentation
Contact patients as Coordination of Benefit (COB) issues arise based on communication from the RMC team or directly from the payors
Contact patients after statements have been generated to set up payment plans where one is not currently present
Handle all communications with families in a courteous and professional manner, interact with sensitivity and be responsive to their individual needs
Receives and places telephone calls in a skillful manner using appropriate language
Handle all telephone requests with courtesy, accuracy, and respect for confidentiality while following all HIPAA regulations for privacy
Perform miscellaneous job-related duties as assigned

Qualification

SalesforceRCM processCommunication skillsInterpersonal skillsOrganizational skills

Required

High School Diploma required
2 years' experience related to the duties and responsibilities specified
Ability to manage high volumes of work and organize/maintain a schedule independently
Ability to communicate effectively, both orally and in writing
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community

Preferred

Understanding of the RCM process overall preferred but not required
Bachelor's Degree in Business/Management or related area (or current enrollment in a similar program) preferred

Company

Action Behavior Centers - ABA Therapy for Autism

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At Action Behavior Centers (ABC), we help children diagnosed with autism spectrum disorder (ASD) reach milestone moments.

Funding

Current Stage
Late Stage
Total Funding
unknown
2023-06-01Debt Financing
2022-08-17Acquired

Leadership Team

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Hersh Sanghavi
Chief Executive Officer and Board Director
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H
Holly Lambert
Co-Founder
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Company data provided by crunchbase