Insurance Specialist

Oakland Family Services•Pontiac, MI

10d•Hybrid

About The Position

This position is responsible for providing detailed and complex monitoring of Treatment Services functions related to insurances to ensure efficient and successful operations. The Insurance Specialist provides back up coverage to the Intake and Insurance Verification Specialist and Office Coordinators at all locations. This position provides a wide variety of monitoring of details within the electronic medical record and client accounts. The position reports to the Supervisor of Clerical Operations.

Requirements

High school diploma or equivalent required. Associates degree in related field preferred.
A minimum of five years of experience in billing and/or insurance work.
Extensive knowledge of insurance, including private/commercial insurance, Medicaid and Medicare.
Experience in bookkeeping and/or patient accounting procedures.
Training and proficiency in data management, Microsoft applications and electronic medical records.
Organized and detail-oriented.
Demonstrated customer service skills.
Selected candidates for this position must possess a sensitivity to the diversity of the agency’s service population including (but not limited to) differences of culture, race, religion, gender, sexual orientation and socioeconomic.
Special abilities and skills necessary to perform the required tasks and that best meet the needs of the agency also will be considered. There may be some standards above that may be waived when compensating specifications or circumstances exist.

Responsibilities

Supports effective client account management by verifying insurances monthly or annually depending on the insurance, verifying insurance changes, monitoring balances, collection phone calls, and accuracy related to co-pays and deductibles, for both the Day One and Specialized Services for Youth programs.
Monitors the accuracy of information within CareLogic and ODIN to ensure billing processes can proceed without rejections.
Collaborates with external billing agency to manage and problem-solve insurance rejections.
Provides back up coverage to the Intake and Insurance Verification Specialist by answering over-flow services inquiries, obtaining client information, verifying client insurance and scheduling intakes.
Supports efficient and accurate paneling of clinical staff in coordination with Quality Assurance and Clinical Supervisors, as well as maintaining accessible information regarding clinician’s status.
Provides support at all office locations for front desk responsibilities in times of staff absences both planned and unplanned, in coordination with the Supervisor of Clerical Operations.
Follows all policies and established procedures in order to provide continuity and consistency in all service locations.
Generates and reviews reporting from CareLogic and ODIN (ie. write-offs, client balances, failed activities, accounts receivable aging) and then provides feedback to appropriate supervisors regarding recommended procedure changes and training needs.
Makes bank deposits as scheduled, including the follow-up involved with any returned checks.
Mails client statements on a monthly basis.
Responds to client phone calls, assists with troubleshooting issues, and helps to reconcile balances.
Prepares client statements for collections monthly. Enters collection accounts on collections website and maintains contact with collection agency representatives.
Follows-up on receivable issues as directed.
Researches monthly write-offs.
Attends meetings within Treatment Services as appropriate.
Participates in a hybrid work schedule, working a minimum of 2-3 days on site, as agreed upon with the Supervisor of Clerical Operations
Responsible for incorporating principles of diversity, equity and inclusion in work processes and in job functions. Responsible for promoting a feeling of welcoming, belonging, and acceptance to all clients and staff.
Other duties as assigned.

Benefits

Competitive compensation.
Comprehensive medical, dental, prescription, and vision coverage.
Flexible Spending Accounts and HSA options.
Retirement plan with a company match.
Long-term disability insurance.
Voluntary short-term disability.
Life insurance and AD&D.
Malpractice insurance.
Paid time off benefits, including generous vacation, sick, personal, and bereavement days.
Twelve (12) paid holidays, including a floating holiday of your choice!
Annual pay increases, as approved.
Employee assistance program for you and immediate family.
Network of support for your health & well-being.
Verizon cellular plan discount.
Mileage reimbursement at the IRS rate.
Loan forgiveness programs.
Commitment to diversity, equity, inclusion, and belonging.
Family friendly practices and support.
Flexible work schedules, as appropriate.
Hybrid and virtual work options, as appropriate.
Highly robust and comprehensive onboarding and training program.
Paid professional development.
Free online trainings that count toward continuing education credits.
Employee assistance programs.
“Dress for Your Day” approach to dress code.
Financial literacy education and workshops.
Collaborative annual performance appraisals.
“Dollars for a Difference” program for clients and staff in need.
And more!