Insurance Coordinator/Billing Support

Job Details

Job Location

Warwick, RI

Position Type

Full Time

Job Shift

Description

INSURANCE COORDINATOR / BILLING SUPPORT STAFF

FULL TIME - NON EXEMPT

Thrive Behavioral Health, the Certified Community Behavioral Health Clinic for Kent County, has been delivering mental health and substance use services since 1976.

Thrive Behavioral Health understands the benefits of delivering high quality, low-cost care for Rhode Islanders. Thrive's unique programs and services are built on evidence based, person-centric care models.

Our programs include : Adult Mental Health, Youth and Family, Substance Use, Housing, Teen and Young Adult, Court Ordered, and Crisis Behavioral Health.

With more than a dozen locations across Rhode Island and more than 300 employees, Thrive is continuing to grow and meet the needs of the community.

General Summary : Verify and coordinate clients' insurance and related activities to maximize cash flow by verifying eligibility and benefits for the proposed program.

Schedule : Mon-Fri, First Shift

Location : Warwick, RI

Did you know... studies have shown that the number one reason a person chooses not to apply for a role is because they do not think they'll be hired if they don't meet 100% of the qualifications?

Thrive understands that while certain criteria are requirements of the job, other skills can be taught to the right person.

Please consider applying anyway.

Essential Responsibilities :

Verify clients' 3

party insurance / benefits including co-pays, deductibles and claims information by interfacing with payer agencies.

• Determine clients' insurance eligibility for services within the scope of Thrive
• Determine clients' 1

party liability and disseminate to appropriate staff.

• Inform appropriate front desk staff and clinicians with service requirements and first payment fees.
• Data enter insurance / benefit information and authorization in current agency software, generate documentation, and disseminate to appropriate staff.
• Maintain accurate, up to date payer contact information.
• Verify and coordinate insurance eligibility for additional services and / or changes in services.
• Coordinate insurance / billing changes as they occur with the fiscal office, front desk, and clinician(s).
• Contact clients as needed to coordinate benefits and verify information.
• Stay up to date with payer changes regarding authorizations and services.
• Review e-mail account daily for new messages
• Assist billing staff when needed , ie post payments, work denials, reconcile DCO payments and takebacks
• Carry and enliven a positive Thrive image consistent with the Thrive's Guiding Principles and professional code of ethics.

Qualifications

Education, Experience and Competencies :

Three (3) years experience working with government and commercial insurers; managed care companies, and preparing 3rd party billings preferably using a computerized system.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls;

reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell. The employee lift and / or move up to 25 pounds.

Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.

This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position.

While it is intended to accurately reflect the position activities and requirements, management reserves the right to modify, add or remove duties and assign other duties as necessary.

Reasonable accommodations may be made to assist individuals with disabilities in meeting the expectations of the position.

EEO / VET / LGBTQ+ Employer

Benefits :

• 3 weeks' vacation to start, increases to 4 weeks after 2 years of employment
• 10 sick days per year
• 1 Float day
• Birthday off
• 11 paid holidays
• Paid lunch
• Low-deductible medical insurance plan
• Dental insurance as low as $0 / month
• Vision Insurance
• Company-paid life insurance worth 2x your annual salary + Long Term Disability
• 401k with 2% company match
• Optional Aflac, additional life insurance, and pet insurance
• Employee Assistance Program
• Employee referral bonuses

All employees are considered benefit eligible if their schedule is 17.5 hours per week or more. Time-off balances are pro-rated for part-time employees.

Insurance plans remain the same regardless of FT or PT benefit eligibility.

Thrive believes in healthy work / life balance and a friendly / family working environment, whose values include Dignity, Respect, Teamwork and Professional Support and Development.

Reports To :

INSURANCE COORDINATOR reports directly to Billing Manager and will be supervised according to Thrive Behavioral Health Supervision Policy.