Sanctuary Recovery Centers

Compensation

Full Description

Overview We are seeking a dedicated and detail-oriented Insurance Eligibility Representative to join our team. The ideal candidate will play a crucial role with spearheading benefits for our patients and bring on potential future patients as we continue to grow and support our community in Rehabilitation Sobriety. Ensuring compliance with regulations and providing support to patients regarding their benefits inquiries. This position requires strong analytical skills and a commitment to fostering positive relations. Duties. • Serve as the primary point of contact for our Housing Staff, Patients, and Revenue Cycle Services regarding benefits inquiries and issues. • Ensure compliance with federal and state regulations regarding products. Requirements: • Strong understanding of Medicaid, Medicaid Managed Care, and other Insurance Benefit skills. • Strong background with AHCCCS, Availity, Mercy Care, etc. Provider Portals • Effective communication skills to foster positive relationship with Patients and Co-workers. • Ability to handle sensitive information confidentially and professionally. • A proactive approach to problem-solving with strong organizational skills. • Resolves any issues with coverage and escalate any complications to supervisor/manager. • Corrects identification and selection of appropriate registered insurance • Corrects errors in various work queues to ensure correct claim filing or refiling of denied claims • Performs other job duties as required. Job Qualifications: • High School Graduate or GED certificate is required. • Candidate must demonstrate the ability to understand and navigate the insurance verification process including coordination of benefits, including in depth understanding of In/Out of Network Benefits and how they relate to co-insurance and deductibles due. • Candidates must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. • Must demonstrate effective communication skills both verbally and written. • Ability to multi-task, prioritize, and manage time effectively. • Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) Preferred Not Required: • Preferred Not Required: Prior EMR, KIPU and CMD System. (Preferred) • A minimum of 6 months' experience in a physician billing or third-party payor environment. • Knowledge of medical terminology, diagnosis and procedure coding is preferred Work Location: Onsite: