Insurance Verification and Authorization Representative

: It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The Insurance Verification and Authorization Representative performs verification of benefits and obtains authorizations in accordance with all state, federal and third party payor contractual requirements. Qualifications: • High School Diploma or GED • Minimum of one (1) year of medical billing and collection or office experience • Knowledge of third party billing and state and federal collection regulations preferred • Ability to prioritize and multi-task independently with little guidance • Must be self-motivated and service oriented • Excellent written and verbal communication skills • Accurate typing and data entry skills Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advanced electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Performs insurance benefit verification for all payors. • Obtains authorization as required by plan benefit. • Processes incoming correspondence from payors. • Resolves any issues with coverage and escalates complicated issues to the Supervisor. • Ensures timely, complete and accurate processing of benefit information. • Prepares monthly nursing home room and board invoices. • Collaborates with Medicaid Eligibility Vendor to obtain Medicaid eligibility. • Obtains patient responsibility payment as needed. • Performs other duties as assigned. This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.