Insurance Liaison

The Insurance Liaison is responsible for ensuring clients maintain active and accurate insurance coverage throughout their treatment episode. This role serves as a liaison between clients, insurance carriers, marketplace plans, county agencies, and ARC departments to facilitate insurance verification, coordination of benefits, coverage maintenance, and documentation requirements. The Insurance Liaison assists clients in resolving insurance-related issues, preventing lapses in coverage, and ensuring all insurance information is accurate and current to support uninterrupted access to care.

DUTIES AND RESPONSIBILITIES Verify client insurance eligibility and benefits prior to admission and throughout treatment

Conduct insurance audits to ensure coverage remains active and identify any lapses or discrepancies

Complete and maintain Verification of Benefits (VOB) documentation

Assist clients with insurance renewals, extensions, reinstatements, and eligibility updates

Coordinate and maintain accurate Coordination of Benefits (COB) information

Assist clients with cancellation of Marketplace plans when appropriate to ensure proper insurance coordination

Assist clients with obtaining and submitting insurance documentation through county, state, and insurance portals

Help clients establish and maintain access to DCS and other electronic systems required for document submission

Communicate with insurance carriers, government agencies, and healthcare partners regarding eligibility and coverage matters

Collaborate with Admissions, Billing, Utilization Review, and Clinical departments regarding insurance-related concerns

Ensure timely processing of insurance information and supporting documentation

Maintain accurate records and documentation in EMR systems

Monitor insurance status throughout treatment to minimize disruptions in care Educate clients regarding insurance coverage, benefits, and responsibilities

Ensure all insurance information, VOBs, and COBs remain accurate and up to dateOTHER SKILLS & ABILITIES Must be motivated to work with minimal supervision

Knowledge of recovery and co-occurring disorders

Basic understanding of substance abuse and mental health treatment services

Ability to navigate complex insurance and government benefit systems

Experience in crisis intervention and conflict resolution preferred

Ability to work with both male and female population

Ability to multi-task and work well with team members

Strong attention to detail and organizational skills

Ability to advocate for clients while maintaining professional boundaries

Understanding of insurance verification, eligibility determination, Coordination of Benefits (COB), and Verification of Benefits (VOB) processes

High School Diploma or Equivalent required

Ability to work with 18 years and over substance abuse/dual diagnosed population

Excellent customer service skills and knowledge of insurance plans, eligibility requirements, and community resources

Must possess excellent written and spoken English language skills

Must possess a valid driver's license and a safe driving record1-2 years of experience in healthcare administration, insurance verification, admissions, billing, or related field preferred

Knowledge of Medicaid, Medicare, Marketplace, and Commercial insurance plans preferredCPR/FA Certification – to be obtained within first 30 days if required for position

Fingerprint Clearance Card – have current card or show proof of applying within 7 days from hire date if required for position

Handle with Care – to be obtained within first 30 days if required for position

Successful clearance of pre-employment criminal/county/state background check

Successful clearance of pre-employment drug and alcohol testing

Successful clearance of TB PPD testing upon hire and annual screening of TB symptoms

Attending clinical oversight with BHP once every 2 weeks worked for a minimum of 2 sessions per month.

Additional Notes:

America’s Rehab Campus’s is an Equal Opportunity Employer, a drug free workplace, and complies with Veteran and ADA regulations as applicable.