Insurance Eligibility Specialist

3 weeks ago


GondrecourtleChâteau, Grand Est, United States Nystrom & Associates, Ltd. Full time
Insurance Specialist Job Description

Nystrom & Associates, Ltd. is a leading provider of mental health services, dedicated to delivering high-quality care to our community. We are seeking a detail-oriented Insurance Specialist to join our team in Arden Hills.

Job Summary

The Insurance Specialist will be responsible for verifying insurance eligibility, benefits, and provider eligibility for patients. This role requires strong organizational skills, attention to detail, and the ability to multitask in a fast-paced environment.

Key Responsibilities
  • Verify insurance eligibility and benefits for patients
  • Verify provider eligibility and authorization requirements
  • Initiate necessary authorizations and referrals
  • Complete the authorization process as applicable
  • Flag appointments accordingly
  • Field and resolve provider/clinic inquiries via email or task
  • Follow up on inquiries within 24 hours of creation
  • Attend biweekly staff meetings and training sessions as indicated
Requirements
  • Experience working with Excel preferred
  • Ability to work on dual monitors
  • Ability to work in multiple software programs
  • Minimum of two years working in healthcare facilities, particularly with insurance verification and prior authorization process
  • Familiarity with insurance company guidelines and HIPAA regulations
Benefits

Nystrom & Associates, Ltd. offers a competitive benefits package, including:

  • Medical and dental insurance
  • Opportunities for professional growth and career advancement
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA) for applicable medical and dependent care expenses
  • Paid Time Off (PTO)
  • Paid Holidays
  • 401(K) Retirement Plan with a generous employer matching program
  • Supplemental insurances, such as short-term disability, cancer insurance, and accident insurance


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