Service Verification Specialist

18 hours ago


Fairview Heights, Illinois, United States Hoyleton Youth and Family Services Full time
Job Title: Service Verification Specialist

At Hoyleton Youth and Family Services, we are seeking a highly skilled Service Verification Specialist to join our team. As a key member of our Clinical department, you will be responsible for ensuring accurate and timely data management and reporting.

Key Responsibilities:
  • Retrieve and analyze data from electronic health records to create reports and invoices for reimbursement from funders, including Medicaid/MCOs, DCFS, and other grant sources.
  • Enter data for invoicing and submit to Clinical Supervisors for approval.
  • Verify error reporting, registration, and payer source information for accurate completion of progress notes and registration documentation.
  • Collaborate with the Financial department to ensure accurate billing and reimbursement.
  • Track data for Medicaid/MCOs, DCFS, and grant funding as assigned.
  • Support Intake Specialists as a backup for answering phones and follow-up for referrals.
  • Participate in departmental initiatives and attend mandatory in-services.
  • Contribute to program reviews and help achieve departmental goals.
Requirements:
  • A high school diploma or equivalent with experience in billing and coding is required.
  • A Billing and Coding certificate or associate's degree in healthcare administration is preferred.
  • Ability to learn and understand insurance requirements and billing processes.
  • Strong organizational and time management skills.
  • Proficient in Microsoft Word and Microsoft Excel.
  • Excellent oral and written communication skills.
  • Excellent interpersonal skills.
CARE and TCI:

As a Service Verification Specialist, you will be expected to align your performance with our CARE philosophy and complete TCI training. This includes participating in monthly refresher training and passing written and physical testing every 6 months.



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