ACCESS Group, Inc. · 17 hours ago
Insurance Verification and Benefits Coordinator
Little Rock, AR
Full-time
Onsite
New Grad, Entry LevelACCESS Group, Inc. is a mission-driven organization seeking an Insurance Verification & Benefits Coordinator who is detail-oriented and proactive. In this role, you will be responsible for verifying client insurance coverage, ensuring accurate documentation, and supporting timely reimbursement processes.
EducationNon ProfitTherapeutics
Responsibilities
Conduct initial verification of commercial and Medicaid insurance benefits by contacting payer representatives directly
Communicate verified benefits and estimated financial responsibility to the Admissions team prior to scheduling initial appointments
Document all verification results accurately in the billing system and maintain consistency across records
Perform scheduled Medicaid eligibility checks and commercial insurance re-verifications for active clients
Identify, track, and communicate payer disruptions to internal teams and clients’ responsible parties
Support guardians and families with guidance and follow-up to reinstate or maintain coverage
Maintain a payer disruption log and promptly notify the Clinical Billing Manager and Director of Risk, Quality, and Billing Operations of changes impacting reimbursement
Enter and maintain verified payer sources to ensure correct routing to primary, secondary, and tertiary payers
Coordinate closely with the Billing Department to prevent claim denials caused by payer mismatches
Obtain, track, and manage initial and ongoing prior authorizations for commercial insurance plans
Monitor authorization expiration dates and initiate renewals proactively to prevent service interruptions
Partner with Clinical Services Coordinators, the Waiver Department, and Billing to resolve eligibility and authorization issues
Communicate clearly with staff and families regarding insurance requirements, coverage changes, and authorization status
Maintain compliance with payer rules and organizational standards related to eligibility and authorization
Obtain required referrals (e.g., PCP/PCM referrals) based on payer requirements
Complete required in-service and professional development trainings annually
Perform other related duties to support ACCESS operations
Qualification
Required
High school diploma or equivalent
Working knowledge of Medicaid and commercial insurance plans
Experience communicating directly with insurance payers
Familiarity with authorization and referral processes
Proficiency with electronic billing or healthcare systems
Strong computer skills, including Microsoft Office
Ability to work independently while supporting a collaborative team
Successful completion of drug screen and background checks
Preferred
Experience in insurance verification, benefits coordination, healthcare billing, or related healthcare administration
Company
ACCESS Group, Inc.
ACCESS® is a 501c3 nonprofit offering evaluation services, full-time education, therapy, training and activities for individuals with special needs.
Founded in 1994
501-1000 employees
Funding
Current Stage
Late StageRecent News
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