Insurance Services Coordinator

5 days ago


Bakersfield, California, United States Embark Behavioral Health Full time
Job Summary

We are seeking a highly skilled Insurance Services Specialist to join our team at Embark Behavioral Health. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate processing of invoices and claims, as well as investigating and correcting rejected claims from clearinghouses and insurance companies.

Key Responsibilities
  • Verify benefits for commercial and Medicaid insurance coverage for behavioral health services
  • Process and submit clean electronic and paper claims to insurance companies
  • Investigate and correct rejected claims from clearinghouses and/or insurance companies
  • Respond to insurance denials, monitor for trends, and provide feedback on operational processes
  • Work with A/R aging report, maintain account status records, and collection efforts in centralized note system
  • Process and respond to requests for information and records from insurance companies
  • Process refunds from insurance companies, validate for accuracy, and challenge when not accurate
  • Invoice patient co-pays and deductibles, private pay collections, and A/R management
  • Monitor assigned accounts for overdue payments and issue refunds on overpayments
  • Make recommendations on adjustments, refunds, and outside collection activity in alignment with company policy and procedures
  • Partner with utilization review team to ensure timely billing to third-party payors
  • Participate in regular billing coordination meetings and provide feedback for problem-solving with A/R issues
  • Engage in cash application process, ensuring all cash receipts are applied accurately and timely
  • Provide feedback to program on how to ensure compliance while maximizing revenue
Requirements
  • Minimum of 2 years prior work experience in medical billing and accounts receivable, preferably in a medical or behavioral-healthcare environment
  • Experience with electronic claims filing
  • Working knowledge of Windows-based applications, including Outlook, Word, and Excel
  • Hands-on experience with accounting software and familiarity with MS Excel, including strong analytical skills
  • Strong and professional communication skills
  • Skilled in negotiation and problem-solving aptitude
  • Patience and ability to manage stress and maintain confidentiality
  • Excellent written and verbal communication skills
  • Exceptional organizational skills and attention to detail
  • High School/GED required, Associate degree preferred

Embark Behavioral Health is a unique organization comprised of extraordinary programs dedicated to bringing the current all-time high rates of adolescent anxiety, depression, and suicide to all-time lows within the decade while becoming the most recognizable, respected, and valuable behavioral health organization in the world.

Embark is a leading network of clinical and therapeutic programs that offer a comprehensive set of services that run the span of acuities, ages, and services.



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