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Insurance Verifications Specialist- Hybrid in Austin TX

3 months ago

Austin, United States Ria Health Full time
Job DescriptionJob Description

Ria Health is on a mission to bring effective evidence-based treatment for alcohol use disorder to all Americans. Our team consists of empathetic mission-driven professionals coming together to support the quality and availability of our national telehealth alcohol treatment program. We are seeking an Enrollment Center Team Lead to join our rapidly growing team. Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $18 million in Series A led by SV Health Investors, LLC. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health.

JOIN THE RIA HEALTH TEAM

Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.

WORK AT RIA HEALTH AS A VERIFICATIONS SPECIALIST

Ria Health is seeking a Verifications Specialist. This person will report to the Verifications Coordinator and complete insurance verification requests from the Enrollment Specialists. This person will also help to build processes around the insurance workflows and communicate with other departments as needed. The Verifications Specialist will also be trained as an Enrollment Specialist for when the call volume spikes and extra help is needed, and work closely with the Enrollment Team Leads.

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

  • Verify insurance information for new patients and referrals

  • Update insurance information and charts in Ria’s EMR

  • Call to obtain eligibility and benefit estimates for recommended services and procedures

  • Document financial responsibilities in the system

  • Answer questions related to billing and insurance

  • Point of contact for the Enrollment Center Team regarding insurance eligibility

  • Help with Enrollment Team with prospect calls when the volume spikes and help is needed

GOALS:

  • Keeps track of insurance data and reports trends to Management

  • Collaborate and integrate new payers and clients

  • Communicate and collaborate cross functionally with Revenue Cycle, Member Service, and Commercial Team

  • Collaborate with the Development Team for Insurance Verifications system improvements

Requirements: Education and Experience

  • Ability to quickly build rapport and trust with potential patients through conference call assessment and program education

  • 1-3 years experience in customer service, healthcare/patient care, customer engagement, potential customer and/or program evaluation or enrollment, or in the general care of support of helping people to improve their quality of life

  • Familiarity with addiction treatment programs from community meetings to rehab is preferred

  • Polished and professional in delivery/communicator: Active listener, excellent verbal and written communication skills

  • Experience working with various computer applications/ tech savvy preferred

  • Flexible, naturally curious in the discovery of solutions to current company challenges, interests in tech/healthcare industry

MAKE AN IMPACT AT A CRITICAL TIME

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.

ENJOY RIA HEALTH BENEFITS

  • Join a team of Mission driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction

  • Experience professional growth within a rapidly expanding tech-healthcare company

  • Work remotely anywhere in the United States

  • Career opportunities include full-time, part-time, and on a contract basis

  • Competitive compensation

  • Telehealth training and development

  • Unlimited PTO for full-time team members

APPLY TO RIA HEALTH

Ria Health invites you to apply at RIAHEALTH.COM

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment 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. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision:

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission:

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values:

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.