Verifications Specialist

Verification of Benefits Specialist

BayMark Health Services we do things differently. Our workforce are not just employees, they are members of a large, diverse, mission and values driven family who are collectively committed to changing and saving lives affected by addiction. We celebrate being an Employer of Choice committed to providing a recovery friendly and equal opportunity workplace.

Overview:

Responsible for verifying patient eligibility, coordinating benefits and patient registration.

Determining patient coverage/responsibility for services including, but not limited to primarily major medical and behavioral health insurance benefits verification and complex insurance plan verification.

Knowledge:

• Highschool Diploma or equivalent
• Minimum of 1 year experience in related field.
• Understanding of patient deductibles and coinsurances

Skills:

• Strong interpersonal skills
• Ability to navigate through payer portals
• Excellent attention to detail
• Excellent time management skills and the ability to prioritize projects and tasks
• Utilize skills and experience to assist staff and provide feedback for any insurance policy or patient demographic matters

Abilities:

• Utilizes all available resources to obtain and enter insurance coverage information for services into patient’s file
• Verifies patient insurance coverage of services, checks applicable billing codes, and verifies if state licenser or other accreditation are required for treatment
• Completes a full verification of benefits for all covered services including treatment and ancillary services
• Notifies admissions or facility of any financial responsibility of services provided and requested services that are not provided by the facility
• Conducts audits of all patient demographic and insurance information for accuracy on daily/weekly basis

Other Characteristics:

• Must meet pre-employment and maintain all applicable state, national, and job-related guidelines for reference checking, background screening,10 panel urine drug screening, health screening, DMV (if applicable), insurance (if applicable), and license/credential verifications
• Other duties as assigned

Benefits:

• Competitive salary
• Comprehensive benefits package including medical, dental, vision and 401(K)
• Generous paid time off accrual
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic

COVID-19 considerations:

Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County and City.

Here is what you can expect from us:

BayMark Health Services, a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

BayMark Health Services, is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.