Insurance Verification Coordinator

Why ROWI?

• Culture of Care:
  We pride ourselves on a supportive and collaborative work environment where your well-being is a priority.
• Work-Life Balance:
  Embrace a balanced professional life with no evening or weekend shifts, encouraging a healthy work-life harmony.
• Fun and Fulfillment:
  Enjoy a workplace where fun and professional fulfillment go hand in hand, ensuring every day is rewarding.
• Comprehensive Benefits:
  Benefit from competitive packages including healthcare, PTO, sick leave, and 401k matching, supporting both your personal and professional growth.

The Insurance Verification Coordinator is responsible for verification of benefits, conducting utilization reviews for new admissions, and providing assistance to the admissions department with insurance and authorization related support.

• Conduct utilization reviews for new admissions, assessing the level of care required and ensuring proper utilization of resources.
• Collaborate with clinical and administrative staff to ensure client records are complete and accurate for authorization and utilization review purposes.
• Assist in obtaining initial authorizations from insurance companies for mental health services.
• Provide support to the admissions department as needed, including administrative tasks and assisting with coordination of client intake.
• Maintain accurate and organized records of admissions, insurance verification, and utilization review activities.
• Stay updated on insurance policies, regulations, and industry trends to ensure compliance and maximize reimbursement opportunities.
• Maintain patient information confidentiality pursuant to HIPAA compliance.
• Attend designated staff and in-service meetings.
• Any additional duties as assigned by the management team.

• Working knowledge of Collaborate
  
  MD and EMR preferred
• Working knowledge of CPT/revenue codes preferred
• Knowledge of insurance verification, utilization review, and mental health care is a plus, but not required for entry-level candidates.
• Ability to read and understand EOB’s
• Ability to work with In-Network and Out-of-Network carriers
• Ability to manage time effectively
• Ability to work with minimal supervision
• Proficient in basic computer skills
• Work effectively within an interdisciplinary team environment

• Minimum of a high school diploma or equivalent. Bachelor’s degree preferred.
• 1 year customer service and insurance verifications preferred.
• Strong interpersonal and organizational skills.
• Excellent written and verbal communication skills.
• Ability to set priorities and handle multiple assignments.
• Must exercise discretion with client information.
• Able to present and manage cases in a knowledgeable and professional manner.
• Must cope constructively with stressful situations.
• Must demonstrate tact, initiative, resourcefulness, professional manner, enthusiasm, and non-judgemental attitude.
• Documents clearly and efficiently.

• Must have valid First-Aid & CPR Certifications and a criminal background check.