Billing and Insurance Specialist jobs in United States
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CHNK Behavioral Health (Children's Home of Northern Kentucky) · 1 day ago

Billing and Insurance Specialist

OneQuest Health is a healthcare organization seeking a Billing and Insurance Specialist responsible for verifying insurance coverage and benefits for their services. The role includes managing payment plans for clients and providing backup support for other departmental responsibilities.

Addiction TreatmentChild CareHealth CareNon ProfitNursing and Residential CarePersonal Health

Responsibilities

Upload documentation into the EHR
Input insurance information into the EHR and verify insurance coverage/benefits and coordinate primary and secondary benefits
Participating in verifying patient insurance benefits
Provide insurance coverage breakdown of costs, including co-payments, co-insurance, and services needing pre-authorization. Contact insurance companies to gather necessary information for verification and coordination of benefits
Perform as a subject matter expert in reading, understanding, interpreting VOBs (verification of benefits) to advise the team on policies that will not pay enough to cover the daily operation cost per patient
Manage the resolution of insurance billing errors
Back up to other team members in department when needed
Verify Medicaid and other client insurance eligibility monthly or as required
Contact clients/guarantors to set up payment plans prior to services or on past due balances
Send client statements out monthly
Provide back up support to Director of Revenue Cycle Management for insurance concerns
Provide support for other functions in department as needed
Participate in agency Performance Quality Improvement and Quality Assurance Committee activities
Must be able to perform the essential functions of this position with or without reasonable accommodation
Attend training as required
Other duties as assigned

Qualification

Insurance verification experienceCareLogic EHR systemBillingCoding experienceBehavioral health services knowledgeCultural sensitivityOrganizational skillsTime management skillsCommunication skills

Required

Minimum of 2 years' experience working in verification of insurance benefits
Demonstrated history of successfully building relationships with insurance companies and their representatives
Self-motivated and able to prioritize and identify processes that need to be implemented and/or improved, and tasks that need completion
Above-average organizational and time management skills, with great attention to detail
Strong verbal and written communication skills
Demonstrated proven sensitivity to the various cultural and socioeconomic characteristics of the OneQuest Health clients and staff
Valid drivers' license or other ability to travel between OneQuest Health sites in a timely manner required

Preferred

Familiarity with behavioral health services preferred but not required
Experience with CareLogic electronic health record system preferred
Experience in billing and coding is preferred but not required

Company

CHNK Behavioral Health (Children's Home of Northern Kentucky)

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Children’s Home of Northern Kentucky, also known as CHNK Behavioral Health, provides behavioral health and addiction treatment services to children, adolescents, adults, and families.

Funding

Current Stage
Growth Stage
Total Funding
$0.15M
Key Investors
Interact for Health
2023-09-14Grant· $0.15M

Leadership Team

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Rick Wurth
Chief Executive Officer
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Crystal Leugers, LISW, LCSW, LCADC
Chief Programming Officer
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Company data provided by crunchbase