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Porter-Starke Services, Inc. · 1 month ago

Insurance Benefit Reviewer- Entry Level position

Valparaiso, IN

Full-time

Hybrid

Entry Level

1+ years exp

Porter-Starke Services, Inc. is a Community Mental Health Center based in Valparaiso, serving northwest Indiana. They are seeking an Insurance Benefit Reviewer to ensure the organization maximizes billing and collection for client services, while providing valuable experience in the Billing Department.

Health CareMental HealthNon Profit

Responsibilities

Reviews all admitting paper work that has been scanned into the electronic medical record (EMR) system for new patients. 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 on a weekly basis for all patients who are currently eligible for Medicaid and for all self-pay only patients

Updates the patient’s insurance profile 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 to examine their insurance coverage to determine the 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 the telephone rotation and assists with inquiries at the Client Financial Services window when needed