Insurance Services Specialist
2 weeks ago
Insurance Services Specialist
Pay: $20.00 - $22.00 per hour
The Insurance Services Specialist is responsible for submitting and collecting payments from insurance companies for various companies of Embark. This job opportunity is suited for a skilled insurance billing specialist who can independently coordinate and manage all phases of insurance billing for mental health services.
The main responsibilities for this role include invoicing, claims submission, denial management and claims receivable management. The Insurance Services Specialist will be required to interface with operational managers, operational staff, insurance companies, utilization review teams, and families.
Responsibilities:
Ensure timely and accurate verification of benefits for commercial and Medicaid insurance coverage as related to Behavioral Health coverage
Ensures the validity and integrity of all patient insurance records
Ensure timely and accurate processing of invoices and claims; responsible for submitting clean electronic and paper claims to insurance companies
Responsible for investigation and correction of rejected claims from clearinghouse and/or insurance companies
Responsible for timely responses to insurance denials, monitoring for trends, and providing feedback on operational processes
Responsible for working A/R aging report while maintaining account status records and collection efforts in centralized note system
Responsible for processing and responding to requests for information and records from insurance companies
Responsible for timely response on requests for refunds as received from insurance company; requests will be validated for accuracy and challenged when not accurate
Responsible for invoicing of patient co-pays and deductibles, private pay collections and A/R management
Monitor assigned accounts to identify overdue payments and issue refunds on overpayments
Make recommendations on adjustments, refunds, and outside collection activity in alignment with company policy and procedures
Partner will 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, making sure all cash receipts are applied accurately and timely
Provide feedback to program on how to ensure compliance while maximizing revenue
Qualifications:
A minimum of 2 years prior work experience in medical billing and accounts receivable, preferable 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 to include 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 (residential treatment centers, young adult transition programs, outpatient centers, addiction treatment facilities, wilderness therapy programs, support services, and more) that offer a comprehensive set of services that run the span of acuities, ages, and services. All programs offer state-of-the-art therapeutic interventions, lead the way in quality standards, deliver measurable outcomes and are all tied together via a shared set of core values (empathy, service, trust, growth, and results).
-
Insurance Services Specialist
2 weeks ago
Bakersfield, California, United States Embark Behavioral Health Full timeOverview: Insurance Services Specialist Pay: $20.00 - 22.00 per hour The Insurance Services Specialist is responsible for submitting and collecting payments from insurance companies for various companies of Embark. This job opportunity is suited for a skilled insurance billing specialist who can independently coordinate and manage all phases of...
-
Insurance Services Specialist
2 weeks ago
Bakersfield, United States Embark Behavioral Health Full timeOverview: Insurance Services Specialist Pay: $20.00 - 22.00 per hour The Insurance Services Specialist is responsible for submitting and collecting payments from insurance companies for various companies of Embark. This job opportunity is suited for a skilled insurance billing specialist who can independently coordinate and manage all phases of insurance...
-
Insurance CSR/ Customer Service Sales Rep
2 weeks ago
Bakersfield, United States Been Insurance Agency Full timeJob DescriptionJob DescriptionFARMERS INSURANCE- Customer Service Sales Representative: Do you have a passion for customer care and a flair for understanding the needs and motivations of people? If so, we want you on our team! As our Customer Service Specialist, you’ll work to inspire customer loyalty and significantly enhance the overall FARMERS Insurance...
-
Insurance Services Supervisor
1 week ago
Bakersfield, California, United States Embark Behavioral Health Full timeOverview: Insurance Services Supervisor Pay: $30.00 - $35.00 The Insurance Services Supervisor will oversee an Insurance Services team to effectively implement and complete the billing and collections processes for Embark BH programs. The primary responsibilities for this role include building a cohesively effective billing and collections team to ensure...
-
Licensed Insurance Sales Producer
3 weeks ago
Bakersfield, United States Evans Insurance Services Inc. Full timeCompany DescriptionEvan's Insurance ServicesRole DescriptionThis is a full-time on-site role located in Bakersfield, CA for a Licensed Insurance Sales Producer. The Licensed Insurance Sales Producer will be responsible for selling insurance policies to clients, discussing the clients' needs and coverage options, and maintaining relationships with clients....
-
Accounting Specialist
1 day ago
Bakersfield, United States Safe 1 Credit Union Full time**About us** Overview: We are seeking an experienced Accounting Specialist to join our team. As an Accounting Specialist, you will play a crucial role in maintaining accurate financial records and ensuring compliance with regulatory requirements. This is a great opportunity for someone who is detail-oriented, analytical, and has a strong understanding of...
-
Service Technician
2 weeks ago
Bakersfield, California, United States Venture Link Full timeGilbarco Service Technician Our Client is looking to hire a Service Technician for their retail locations. Ideal candidate would be knowledgeable about Gilbarco/Veeder Root, including POS systems, and have experience working on gas dispensers, tanks, and inside POS repair. Requirements Experience: Gilbarco: 2 years License: Gilbarco Work...
-
Call Intake Specialist
7 days ago
Bakersfield, United States Advanced Network Solutions Full timeCall Intake Specialist The primary focus of the person in this role will be answering incoming calls to assist our clients in creating a service ticket in our system outlining their issue and then routing them to an available technician to resolve their issue. As part of this role, between calls, this person will also function as an assistant to the...
-
Residential Service Director
2 weeks ago
California, United States Holly Hill Children's Services Full timeJob Title: Residential Service Director Location: California, KY Salary: Commensurate with experience Employment Type: Full-time About the Role: At Holly Hill Child and Family Solutions, we believe in the power of every child to make a difference in the world. If you share that passion, we'd love to have you on our team. We're a mission-driven organization...
-
Outreach Specialist
2 weeks ago
Fresno, California, United States Choice Healthcare Services Full timeOverview: Do you enjoy marketing outreach with organizing and attending outreach events and traveling locally for business-to-business outreach? If so, we are seeking a dynamic individual who loves to make an impact to join CHOICE Healthcare Services, where our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider...
-
EMG Independent 1099
2 weeks ago
Bakersfield, California, United States Concentra Full timeOverview: Concentra, one of the largest health care companies in the nation, is looking for a Physiatrist / Neurologist to come on site to our location as a 1099 independent contractor to perform EMGs and NCS. This role is a contract position and is meant to compliment your current practice. A typical partnership will involve treating patients on site at...
-
Anesthesia Pain Specialist Independent 1099
4 weeks ago
Bakersfield, California, United States Concentra Full timeOverview:Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.Concentra, one of the largest health care companies in the nation, is looking for an Anesthesia / Pain Medicine Specialist to come on...
-
Outreach Specialist
4 weeks ago
Bakersfield, United States Integrated Practice Management LLC Full timeJob DescriptionJob DescriptionDescription:The Outreach Specialist provides support to the Enhanced Care Management (ECM) program and other special programs to ensure engagement, enrollment and follow up on members related to ECM other special programs. The Outreach Specialist works alongside specialized internal team including case managers, providers, and...
-
Experienced Insurance Claims Adjuster
8 hours ago
Bakersfield, United States Alert Disaster Restoration Full time**Position Title**: Sr. Property Claims Adjuster (Hybrid Optional) **Job Summary**: As an experienced claims adjuster in a hybrid role, you will be responsible for managing and processing insurance claims from start to finish. You will utilize your expertise in claims handling and policy interpretation to investigate, evaluate, and settle claims accurately...
-
Court Services Specialist Trainee/I/II
2 weeks ago
Bakersfield, United States Superior Court of California, County of Kern Full timeTrainee: Learns to receive and examine legal documents for accuracy, completeness and conformity to requirements. Assists with the preparation of documents and exhibits; files and sorts legal documents and related case materials; retrieves and delive Specialist, Trainee, High School, Service, Legal, Education, Retail
-
Remote Insurance Defense Attorney
3 days ago
Bakersfield, United States Resnick & Louis, P.C. Full timeHave opportunities to work individually and as part of a strong legal team! - Think creatively to meet the unique needs of our wide variety of clients. - Focus on providing top notch customer service. - Direct legal strategy with the freedom to litigate according to each lawyer’s own style Must be admitted to practice in the State of California and in...
-
Community Outreach Specialist
2 weeks ago
Vacaville, California, United States Choice Healthcare Services Full timeOverview: Do you enjoy marketing outreach with organizing and attending outreach events and traveling locally for business-to-business outreach? If so, we are seeking a dynamic individual who loves to make an impact to join CHOICE Healthcare Services, where our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider...
-
Bakersfield, United States Bakersfield City School District Full timeJobID: 2737 **Position Type**: Student Support Services/Teacher, Intervention Specialist**Date Posted**: 5/2/2024**Location**: All sites**Date Available**: 07/01/2024**Closing Date**: 05/15/2024 **TEACHER, INTERVENTION SPECIALIST, DUAL IMMERSION** **(2024 - 2025 School Year)** **QUALIFICATIONS**: 1. Valid California teaching credential, authorizing...
-
Bookkeeper Invoicing Specialist
3 weeks ago
Bakersfield, United States Alert Disaster Restoration Full timeJob DescriptionJob DescriptionSalary: $26-$31Job Title: Bookkeeper Invoicing Specialist (Concentration in Accounts Receivable)About Us: Alert Disaster Restoration is a dynamic and growing Restoration company known for its commitment to excellence and dedication to customer satisfaction. We take pride in our innovative solutions and exceptional team of...
-
Conduct Specialist
2 weeks ago
Pasadena, California, United States Liberty Behavioral & Community Services, Inc. Full timeLiberty Behavioral & Community Services, Inc. is currently seeking a Conduct Specialist to join our team. As a Conduct Specialist, you will work closely with individuals who have behavioral and conduct disorders, providing them with the support, guidance, and interventions they need to improve their social and emotional well-being. You will play a crucial...