The Ascent Programs are a group of licensed, accredited therapeutic program located in Utah. We have 30+ years of experience using evidence-based practices to help families heal. As our Insurance and Medical Records Specialist, you will be responsible for verifying insurance benefits, managing medical records, submitting medical records to payors and maintaining organizational compliance while following all HIPAA regulations.
Many families need help with their child's mental health but don't know where to start. As our Insurance and Medical Records Specialist, you play a crucial role in helping make this life-saving treatment accessible. This may mean walking a parent through what services we offer or working with insurance companies to get benefits clarification for families. A successful Insurance Specialist will enhance the quality of patient management, maximize satisfaction, and promote cost effectiveness while working across clinical teams and departments.
Responsibilities:
Ensure timely and accurate verification of benefits for commercial and Medicaid insurance coverage as related to Behavioral Health coverage
Ensures the validity and integrity of all patient insurance records
Responsible for timely responses to insurance exclusions, monitoring for trends, and providing feedback on operational processes
Responsible for processing and responding to requests for information and records from insurance companies
Responsible for invoicing of patient co-pays and deductibles, private pay collections and A/R management
Make recommendations on adjustments, and outside collection activity in alignment with company policy and procedures
Partner will utilization review team to ensure timely verification and medical records requests to third party payors
Participate in regular billing coordination meetings and provide feedback for problem solving
Provide feedback to program on how to ensure compliance while maximizing revenue
Ensure clinical data and case notes support clinical needs and clients are receiving proper therapeutic interventions
Maintain thorough documentation of all activities
Participate in performance improvement activities
Respond to customer inquiries both telephone and by email
Work within an established lead management software system
Requirements
High school Diploma
Able to pass background criminal investigation checks
Eligible to work in the USA
Proficient in basic computer programs
Proficient in communicating, both verbally and in writing, in English
Reflective listening skills
Empathetic
Clear, honest communication
Preferred
Some college
Billing and coding knowledge
Professional experience in a treatment facility
Professional experience in working with commercial insurance
Benefits
Small, close knit team
Health, dental, vision, accident, critical illness, and other insurance plans available after probationary period for full-time employees
Employer contributions to Health Savings Account (HSA)
Free Employee Assistance Program (EAP)
Continued professional development & certification opportunities
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Primary and Secondary Education and Non-profit Organizations
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