Part Time Insurance Specialist-Healthcare-Inwood Bronx

Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a part-time Insurance Specialist to join our team in the Bronx, NY. Candidate must be able to work 2 days at 7.5 hours and one day at 4 hrs.

The Insurance Specialist coordinates insurance benefits for patients including but not limited to enrollment/disenrollment processes, restrictions, visit authorizations, and payments for services. Performs clerical duties, acts as receptionist, coordinates patient appointments, and communicates with all disciplines.

Essential Job Duties of Insurance Specialist:

· Adheres to Front Desk Protocol for patient flow (1. Reception, 2. Registration, 3. Discharge and follow up appointments).

· Point person for patients who are designated as self-pay, providing information on services and cost of care.

· Coordinates discharge process when indicated - schedules, all f/u appointments, prior approvals, etc.

· Verify insurance coverage and obtain necessary authorization for medical/dental/behavioral health visits.

· Coordinates reception/front office operations duties – Greet and register all patients as they arrive, perform insurance verification/MUT preparation, schedule appointments, answer calls, take messages and other similar clerical tasks when indicated.

· Serves as a resource to registrar staff for source of insurance information and direction.

· Assist with the enrollment process in Medicaid Managed Care plans

· Conforms to policies and regulations governing patient rights and confidentiality of information

· Serves as a resource to patients regarding insurance enrollments, restrictions, deductibles and co-payment information and collection.

· Handles complex insurance issues as necessary including but not limited to restrictions, verifications, and visit authorizations.

Minimum Education Requirement : High School diploma/ GED

Work Related Experience : 2-4 years

Preferred Specialized Skills & Knowledge: Bilingual in both English and Spanish (orally and written)

Sun River Health is a network of over 40 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually. With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most. Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need no matter their race, religion, income, or insurance status. Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island.

Job Type: Part-time

Pay: $17.25 - $19.00 per hour

Schedule:

• Monday to Friday
• Weekends as needed

Ability to commute/relocate:

• Bronx, NY 10452: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Please note this is a part time 15 hr per week position that starts at $17.25 ph and can increase with experience. Please indicate your desired starting rate.
• Sun River Health requires COVID Vaccination.

Education:

• High school or equivalent (Required)

Language:

• Spanish (Preferred)

Work Location: In person

Salary : $17 - $19