Benefits:

401(k) matching

Bonus based on performance

Dental insurance

Health insurance

Paid time off

Vision insurance

Insurance Specialist

Job Description

The primary responsibility of an Insurance Specialist at Bodies in Balance Physical Therapy is to obtain the most accurate benefit information for patients. This includes both patients who are scheduled for new evaluations and for active patients who need updated authorization or updating benefits verification as needed. Accurate and efficient documentation in the electronic medical record is an integral duty. This position is remote and requires excellent communication amongst the team, as a key member of the Revenue Cycle Team.

Primary Responsibilities include:

Accurate verification of primary and secondary insurance claims. Entering information into the EMR system accurately and thoroughly so that best practice of obtaining insurance information is obtained.

Monitoring for Authorizations and upcoming expiring Authorizations so that insurance authorization information in the EMR is accurate and that patients are not scheduled beyond their approved/allowed visits.

Communicating with the patients in a kind, but effective manner that is meeting the patient where they are as well being clear, concise and confident.

Demonstrating the CORE VALUES of Bodies in Balance:

Patient First

Kind, clear communication

Timely notification of all new patients, sending them an estimation of benefit verification within 48 hour notification (2 business days), communicating via text

Being able to effectively communicate in network and out of network options

Meeting the patient where they are

Coordinating with administration and the revenue cycle team about about any concerns, specifically concerns that may prevent a patient from attending PT (excessive cost sharing or OON concerns)

Navigating communication and options if patient has high cost sharing

To keep within all HIPAA guidelines at all times

Passionate Learner

To continue actively learning and implementing new systems, processes, insurance guidelines and requirements as needed, including learning and utilizing software updates

To work with revenue cycle team on how to work more effectively and efficient

Unequivocal Excellence

To strive to perform your best, at times this may include working outside of stated job description/duties

Teamwork without Boundaries

Consistently demonstrate positive communication with all staff

Excellent Remote working characteristics:

timely attending all meetings

Camera on with as noise free as possible background

To be available during scheduled hours for messaging, phone calls and virtual meetings, communicating to your team members of any changes in your availability/schedule

Show respect to all team members in all interactions and communication

Assist with training new support staff on understanding variable of insurance cost sharing as needed.

Impacting Results

Ensure accurate info is obtained, documented to reduce and minimize errors that can lead to denials

Following specific processes to ensure accurate cost sharing is communicated to the patient and the team in a timely manner

Problem solving if a trend of inaccurate benefit verification is noted form a certain carrier

Regularly monitoring EMR dashboard to assure upcoming patients have authorization.

Working with Rev Cycle team and support staff to develop best practices with insurance verification as needed

This is a remote position.