We are hiring a hardworking Insurance Specialist to join our productive team at Nystrom & Associates Ltd in Arden Hills, MN.
Growing your career as a Full Time Insurance Specialist is an amazing opportunity to develop competitive skills.
If you are strong in problem-solving, decision-making and have the right mindset for the job, then apply for the position of Insurance Specialist at Nystrom & Associates Ltd today!
Nystrom & Associates, Ltd. is currently seeking a full-time Insurance Specialist to join our our Arden Hills Business office. After initial in-office training, this role could be fully remote (work from home). In this role you will execute the fast-paced task of verifying insurance eligibility for patients. This role ensures all insurance benefits are verified, provider eligibility is verified per insurance carrier, and authorization requirements are received in a timely manner to ensure optimal reimbursements.The job duties of our Insurance Specialist focuses on verifying mental health or chemical dependency insurance eligibility, verifying updated insurance information within 24 hours of receipt, obtaining initial authorizations/referrals as needed, and any other duties as assigned by management. Other duties include the following:Job Duties:Verification of Insurance Eligibility/Benefits for OP, ARMHS & CTSS servicesInitiate necessary Authorizations/Referrals as neededCompleting the authorization process as applicableAppointments are flagged accordinglyField/Resolve provider/clinic inquiries via Email or TaskInquiries are followed up within 24 hours of creationAttend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.All other duties as assigned by Management.ExpectationsExtreme attention to detail while multitaskingExtreme ability to organize and track large amounts of dataVerification Benchmarks are met on a time frame as established by Management.FlexibilityNew Patient, Referral, Termed , CD Eval, CD Orientation, CDDA, CBDA & CBADA appointments are verified within 2 business days of being scheduledAre marked with GREEN checkmark to confirm active coverage based on Insurance coverage, Provider exceptions, and Authorization requirementsPolicies are set up correctly based on NAL approved Insurance Verification ProcessFollow-up appointments are verified by the IVerify systemAny appointments found inactive are followed up on within 1 business day of the inactive verification and communicated to clinical staff.Manual reverifications of insurance not verified by the automated system are done as needed.Initial Authorization orders are entered into Allscripts EEHR according to authorization policyInitial Authorizations are set up in Allscripts PM according to authorization policyPatient Accounts are noted appropriately in EEHR and PMRecognize/report trends and patterns with providers & clinicsRecognize/report trends and patterns with insurance companiesBack up Authorization Specialist with Authorization requests & approvalsOpen communication with Supervisor & LeadArrive and leave on time according to assigned scheduleAdhere to attendance policiesQualifications:Experience working with Excel preferredAbility to work on dual monitorsAbility to work in multiple software programsMinimum of two years working in health care facilities preferred, particularly with insurance verification and knowledge of prior authorization process.Familiarity with insurance company guidelines and HIPAA regulations.Hours:Monday through Friday 7:00-3:30 or 7:30-4:00Benefits:Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:Medical & Dental insuranceOpportunities for professional growth and career advancementHealth Savings Account (HSA)Flexible Spending Account (FSA) for applicable medical and dependent care expensesPaid Time Off (PTO)Paid Holidays401(K) Retirement Plan with a generous employer matching programSupplemental insurances, such as short term disability, cancer insurance, and accident insurance
Benefits of working as a Insurance Specialist in Arden Hills, MN:
? Learning opportunities
? Opportunities to grow
? Advantageous package
? Remote Work opportunity
