Insurance Verification Coordinator
New Season

Maitland, Florida

This job has expired.


Are you looking to make a difference in your community? We are seeking an Insurance Verification Coordinator to join our Revenue Cycle team at our Corporate office located in Maitland, Florida. Apply today to help fight against the opioid epidemic and join a united work family.

New Season:

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").

Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery.

Insurance Verification Coordinator Job Summary:

This position obtains and verifies the patient's insurance that will better benefit the patient. This will include conducting prior authorization processes, copay assistance, and coordination of benefits.



Essential Functions:

  • Manages all activities related to the intake, referral management, and insurance verification functions, including implementation of initiatives for third parties.
  • Establishes work directions, resolve problems, and set performance expectations and deadlines to ensure timely completion of all department deliverables.
  • Writes practices State and Payer specific and implement changes ensuring compliance with all related laws, regulations, and contractual requirements.
  • Ensures all deadlines related to referral processing and turnaround times for the assigned programs are met.
  • Ensures up to date quality control processes to ensure the integrity of enrollment and insurance verification data.
  • Develops and ensures a consistent work process is followed around new patient admission tracking in conjunction with the operations team.
  • Evaluates the effectiveness of the intake and related program activities ensuring consistency of work processes and recommending changes.
  • Identifies utilization trends of incomplete or inaccurate verification processes and develop appropriate work processes to respond to exceptions and minimize financial risk.
  • Able to manipulate the Coordination Of Benefits for secondary payers.
  • Responsible for loading insurance plans; primary and secondary if necessary.
  • Ability to negotiate a Letter Of Agreement or an Assignment Of Benefits with the insurance plan in coordination with the Revenue Cycle Director.
  • Runs Eligibility Checks for all patients.
  • Monitor the authorization process to assure the authorizations are obtained in a timely manner.
  • Maintains billing episode changes and/ or similar account maintenance when health plan information is added, deleted, or modified for claims that are rebilled.



Benefits:

  • Weekends Off (Work Life Balance)
  • Competitive Pay
  • Generous PTO (3 weeks with buy up options)
  • Excellent Medical (EPO & PPO plans), Dental, and Vision Insurance
  • FSA's, Telehealth and Tele-Counseling services
  • Life Insurance
  • Short/Long Term Disability
  • 401k with up to 3% matching
  • Reimbursement for education, license, tuition, etc.
  • Referral bonus (up to $750)

Essential Qualifications:

Education/Licensure/Certification:

The position requires a high school diploma or GED.

Required Knowledge:

The candidate must be computer literate and have knowledge of all Microsoft products, especially Microsoft Outlook and Office, Google Suite, as well as Call Center hardware and software. Must know Commercial insurance plans and Medicaid HMO's, Current procedural terminology and ICD-10 Dx Codes.

Experience Required:

This position requires 2 years of previous healthcare or customer service experience.



New Season provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

40 hoursCMG Corporate


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