Client Access Representative

This is a Full Time, 1.0 FTE, Remote, Days position

Position Summary:

The Client Access Representative ensures demographic information is complete and accurate, obtains insurance information, and accurately verifies coverage and authorizations are appropriately obtained for scheduled services.

Responsibilities:

• Verify insurance benefits for all clients in all regions using payer websites, payer IVR systems and via direct phone contact.
• Ensure financial eligibility is set up to bill all services correctly in Practice Management System and customize as required for accurate billing.
• Ensure accurate billing by pulling multiple reports to identify clients that need monthly eligibility verifications, changes to billing information, insurance card review, outpatient authorizations, and other error management tasks.
• Work closely with Office Managers and Utilization Review staff to communicate any applicable insurance exclusions and eligibility information.
• Initiate process to add new payers in EHR system
• Obtain initial and continuing authorizations for intake and outpatient services.
• Point of contact for benefit and authorization questions from other departments and locations.
• Work closely with billing team to triage insurance denials related to Eligibility and Benefits. Including; obtaining retro authorizations and other documentation for claim denials and appeals, calling insurance companies to investigate issues, and working closely with Utilization Review and Client Accounts to obtain information from clients.
• Assist in reviewing and updating reference materials with known coverage, authorization and exclusion information for all payers.
• Appropriately document and track insurance-related waivers that require a timely client signature.
• Actively participate in the onboarding and orientation of new team members.
• Managing time both independently and effectively for optimal reporting and productivity.
• Ability to Self-Motivate throughout the day and week and ensuring that all required tasks are completed based on independent alpha-split.
• Other duties as assigned to meet needs of department and/or organization.

Qualifications:

• High School Diploma Required

• Minimum of 1 year experience in healthcare office environment, behavioral health industry and/or insurance company a plus.
• Required understanding of and experience with insurance benefits and authorization requirements.
• Significant experience using Microsoft Office - Word, Excel, PowerPoint, Outlook

Competencies:

• Strong attention to detail and commitment to quality.
• Solid Interpersonal skills with the demonstrated ability to develop and maintain productive relationships.
• Demonstrate initiative and exercise good judgement (e.g., in starting tasks, asking questions, identifying and discussing problems, ability to structure own work, stay on task).
• Ability to prioritize and adapt to changing priorities.
• Shows passion for our business, clients, and values.

Workplace Environment:

• Work out of the Atrium office building
• Sitting 90-95% and Standing 5-10%
• Working at a computer 95% of the day
• Lift, carry, push or pull up to approximately 20 pounds (i.e.: supplies)