Insurance Reviewer- Entry Level position

Insurance Benefit Reviewer – Entry Level Position

We are looking for an Insurance Benefit Reviewer to join our Valparaiso Billing Department. After training, employees may work hybrid from home. Porter‑Starke Services, Inc. is a Community Mental Health Center serving northwest Indiana.

Ensures that the organization receives the necessary information to maximize first and third party billing and collection for client services. This entry‑level position provides valuable experience at the Valparaiso location Billing Department.

• 401(k) with 20% company matching
• Option to work some remote hours (once training is complete)
• 11 paid holidays
• Competitive wages
• Generous PTO
• Employee discounts (YMCA)
• Employee referral program
• HSA/FSA accounts
• Medical, dental, and vision insurance
• Tuition assistance (up to $5,250/annually)
• Loan repayments (up to $200/month)
• Casual Fridays
• Company‑paid life insurance policy
• Company‑paid long‑term disability
• Optional short‑term disability insurance
• Employee recognition events
• Employee Assistance Program
• Free health screenings

• Reviews all admitting paper work scanned into the EMR system for new patients and checks for duplicate patient IDs.
• Reviews all data in EMR for new patients; for selected departments, reviews and enters all HAP associated data.
• Contacts insurance carriers to obtain insurance benefits and initial authorizations.
• Enters all insurance and authorization information into the patient’s account in the Accumed practice management system.
• Verifies Medicaid eligibility weekly for all patients who are currently eligible for Medicaid and for all self‑pay only patients.
• Updates patients’ insurance profiles and transfers all claims to the appropriate payor when a patient becomes eligible for Medicaid.
• When notified that a patient is no longer eligible for Medicaid, updates the patient’s insurance profile, transfers all claims to the appropriate payor and communicates the change in funding to all of the patient’s program areas.
• Re‑verifies insurance benefits and authorizations for patients who have been transferred or referred by one PSS staff to another.
• When notified that a patient’s insurance has lapsed, communicates this to front desk staff and follows up with new insurance and authorization information.
• Assists patients in examining their insurance coverage to determine allowable services and co‑payments.
• Assists staff at satellite offices with insurance questions or problems.
• Handles customer and insurance representative inquiries in a timely and efficient manner.
• Participates in last‑minute telephone rotation and assists with inquiries at the Client Financial Services window when needed.

• High school diploma or G.E.D required.
• A certificate or degree from a vocational or technical school preferred.
• One to three years related experience and/or training preferred.

Additional information can be found on our website:(Use the "Apply for this Job" box below)..org

Seniority level:
Entry level.

Employment type:

Full time. Job function:
Administrative. Industry: Hospitals and Health Care.