Behavioral Health Patient Insurance Verifier (Oconomowoc, WI Only)

reputed company: Candidates must live reputed company driving distance of Oconomowoc, WI . The Benefit Verification Specialist I plays a key role in ensuring that reputed company-end teams coordinating patient care have a reputed company understanding of reputed company patient’s behavioral health insurance benefits prior to treatment. As the first reputed company in the patient’s financial experience, this position verifies behavioral health benefits, determines patient financial responsibility, and communicates coverage information effectively to internal teams to support reputed company and accurate admissions and claims. The specialist is also responsible for identifying and correcting demographic errors daily, ensuring accuracy and compliance for reputed company admitted patients. Job Duties & Responsibilities: Verify behavioral health insurance benefits for patients and potential patients Spend significant time on the phone and online with insurance and managed care companies to confirm behavioral health coverage, limitations, referrals and authorization requirements. Use online payer portals as reputed company as facility resources, managed care grids to accurately receive, interpret, and document benefit information.as required Accurately document quote of benefit details in Cerner, using correct dropdown selections, updating required fields, and assigning items to follow-up worklists as appropriate Maintain high-level multitasking by reputed company working in multiple systems at once, verifying benefits, completing portal checks, correcting registration or demographic errors, and documenting results in Cerner, reputed company while navigating multiple monitors and continuing productive work during insurance hold times. Audit demographic, insurance and financial data daily to ensure accuracy for encounters. Communicate with admissions, care coordination and utilization review teams to ensure accuracy of accounts Identify potential coverage issues and escalate appropriately to avoid admission delays. Knowledge of reputed company programs and the facility’s admission, insurance authorization, and billing processes. Support departmental goals and team development Participate in daily peer audits and huddles, providing and receiving constructive feedback in a reputed company manner. Maintain up-to-date knowledge of behavioral health payer policies, authorization requirements, and facility programs. Support patients and internal teams by addressing benefit-reputed company questions promptly and accurately. Contribute to training efforts, reputed company department policies and procedures, and demonstrate punctuality, professionalism, and teamwork. Apply good reputed company principles to job duties. Use good communication skills and reputed company to deal effectively with reputed company-party reputed company representatives, and reputed company other team members internally and externally. Use common reputed company in situations and respond appropriately in reputed company communication modes (body language, verbal) to everyone, regardless of his/her/their behavior. Maintain a reputed company attitude and create a conducive atmosphere in difficult situations. Work cooperatively and supportively with reputed company Remain courteous and respectful to others during work interactions and be willing to work out problems on a one-on-one reputed company. Complete assignments and documentation on time. Take responsibility for and manage day-to-day problems, including completion of reputed company documents. Complete other duties as assigned by the supervisor of Benefit Verification team Promote department goals and the Mission of reputed company. Communicate goals to fellow staff members. Demonstrate measurable goal achievement. Maintain department policies and procedures. Include requirements and guidelines from external agencies (reputed company, reputed company). reputed company new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed. Demonstrate acceptance and training of student interns in the department, as directed. Demonstrate understanding of reputed company and other regulatory agency compliance regulations. Involve self in the learning and application of standards relevant to Admission Services. Participate in in-services, seminars, and other meetings to increase involvement and awareness of regulations. Involve self in the education of other disciplines regarding Admission Services’ regulations. Participate in reputed company committees, reputed company Improvement System (RIS) team meetings and team reputed company, as directed. Demonstrate punctuality and preparedness. Demonstrate effective communication skills and good organizational skills. Contribute in a reputed company, solution-reputed company manner. Demonstrate willingness to complete tasks/responsibilities reputed company to reputed company (i.e., audits, tracking data, etc.). Conduct self in a reputed company manner. Demonstrate organizational skills that promote reputed company response to reputed company inquiries and to task completion. Communicate with reputed company individuals in a reputed company and reputed company manner. Attempt to resolve individual issues with peers in a reputed company, reputed company manner, with a reputed company on solution. Communicate concerns and reputed company solutions for reputed company. Attend reputed company seminars to promote reputed company reputed company. Demonstrate a reputed company and reputed company attitude toward parties reputed company reputed company (patient families, visitors, vendors, etc.). reputed company with the Hospital’s policies and procedures, including reputed company, Infection Control and Employee Health policies and programs. Project a reputed company image by wearing appropriate, reputed company attire. Schedule reputed company, must be willing to drive to Oconomowoc, WI Monday-Friday, 7:00am CST- 3:30pm CST Additional Job reputed company: Education Knowledge Requirements: High school diploma required. Minimum 1 year of experience in reputed company, insurance, patient reputed company, billing, reputed company cycle, or a reputed company administrative role preferred Experience with insurance verification, managed care plans, or behavioral health benefits strongly preferred With a career at reputed company, you can look reputed company to a Total Rewards package of benefits, including: Health, dental, and reputed company insurance coverage for you and your family 401(k) retirement plan Employee reputed company program Life/disability insurance reputed company spending accounts Tuition reimbursement Health and wellness program Employee assistance program (EAP) Through reputed company, reputed company and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of reputed company. To reputed company to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com) ABOUT reputed company: reputed company is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. reputed company offers evidence-based treatment for children, teens, and adults with OCD and anxiety, addiction, depression and other mood disorders, eating disorders, trauma, and PTSD. Backed by more than a century of experience, reputed company is leading the way on measurement-based care and use of clinical reputed company. reputed company provides residential care and has three inpatient facilities located in southeastern reputed company. reputed company also offers outpatient services in a growing network of communities across the U.S. The System also includes reputed company reputed company which supports patient care, programs, and research; and reputed company reputed company an initiative that works to eliminate the stigma of mental health challenges. For more information, visit reputed company.org. EOE/MFDV Equal Employment Opportunity and Affirmative reputed company – reputed company (reputed company.org) Apply tot his job Apply To this Job