The Insurance Verification Specialist is responsible for verifying client eligibility, coordinating benefits, requesting, and loading payors and determining client coverage/responsibility for ABA services. This candidate will work closely with the Revenue Cycle Management department while performing all components in the Insurance Verification process for existing and new clients. The ideal candidate will encompass excellent customer service and keen attention to detail. 

Work hours 8 am- 5 PM. Compensation according to experience $18 - $20 per hour.

Job Duties and Responsibilities include the following.  Other duties may be assigned. 

• Obtain insurance benefits and eligibility by contacting payors in a timely manner via phone as well as various portals  

• Understand the verification of benefits and eligibility process and navigate the payor requirements accordingly 

• Enter verification of benefits and eligibility information accurately in Central Reach system  

• Provide support to clinics in review of verification of benefits and eligibility requests 

• Collaborate with all RCM teams and other departments to ensure efficiencies and strong communication and escalation of issues and/or enhancements 

• Identify critical issues and provide possible solutions in addition to elevating problems to leadership 

• Collaborate with the Auth/verification of benefits and eligibility Supervisor on special projects, workflow optimization and improvement efforts 

• Prioritize and multi-task efficiently while balancing a large work volume 

Job Requirements

• Exceptional analytical, conceptual, and problem solving skills with the ability to define problems, and disseminate significant amounts of information with attention to detail and accuracy
• Self-starter who can work in an unstructured environment, independently or in collaboration with a team
• Inherent flexibility in demeanor with a positive can-do attitude and an entrepreneurial spirit
• Ability to prioritize and multi-task efficiently while balancing a large work volume
• Demonstrated ability to effectively communicate both verbally and written
• Possess strong organizational and follow up skills with an ability to work well under pressure
• Ability to develop effective working relationships within the RCM department and across the organization
• 1+ years of experience in healthcare verification of benefits preferred
• Strong knowledge of Microsoft Excel and Word.

What we offer

• Paid time off (PTO) and paid holidays
• Medical, dental, and vision benefits
• Retirement plan
• Career growth

Washington Candidates:

Per the directive of Washington Governor Jay Inslee, all health care providers in the private health care sector must be fully vaccinated by 10/18/21. This includes most employees, contractors, volunteers, and other positions that have any onsite presence. Therefore, all BlueSprig employees must be vaccinated or provide evidence of a required work accommodation.

Oregon Candidates:

Per the directive of Oregon Governor Kate Brown, all health care providers who have direct or indirect contact with clients must be fully vaccinated by 10/18/21.

At BlueSprig, we are dedicated to ensuring a level playing field for all. As part of that, we work hard to maintain our Great Place To Work ® status so that everyone is rewarded fairly and earns opportunities for bringing their whole and best selves every day, to allow for the fulfillment of our mission to change the world for children with autism.  

Sometimes the confidence gap and imposter syndrome can make someone doubt themselves and reconsider applying for a job that they love. Well, we’re called BlueSprig for a reason – because we want to help everyone grow. If you want to be a part of our BlueSprig family, please apply as we would love to hear from you.