INTERNAL ONLY - Insurance Change Specialist

Action Behavior Centers; Texas; On-site; USD 42,000 - 64,000; Full time

Job summary

Action Behavior Centers in Austin, TX, is seeking an Insurance Change Specialist (Internal Only) to support the Revenue Cycle Management team. You will review benefit changes, verify demographics, and ensure accurate COB data while maintaining HIPAA privacy and patient confidentiality.

Reporting to the Benefits & Eligibility Manager, you will collaborate with Operations Managers and communicate with families and payors as needed to resolve COB issues and ensure timely understanding of changes.

Qualifications

• Ability to manage high volumes of work and organize/maintain a schedule independently.
• Ability to communicate effectively, both orally and in writing
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Understanding of the RCM process overall preferred but not required.
• High School Diploma required, Bachelor’s Degree in Business/Management or related area preferred.
• 2 years’ experience related to the duties and responsibilities specified.

Responsibilities

• Review and verify benefit changes for ABC families and document the plan details with relevant information such as funding status, MOOP and effective date.
• Verify that all patient demographic data and primary contact information is current.
• Confirm completion of Insurance Coverage checks in Salesforce.
• Collaborate with Operation Managers to educate the family on time-sensitive obligations if changes to employment or insurance coverage.
• Deliver information to OMs should any Coordination of Benefit issues arise based on communication from the RCM team or payors.
• Handle all communications with other departments in a courteous and professional manner, interact with sensitivity and be responsive to their needs.
• Receive and place telephone calls using appropriate language.
• Manage all telephone and email communication with accuracy and respect for confidentiality while following HIPAA regulations for privacy.
• Perform miscellaneous job-related duties as assigned.

Skills

Communication skills

Time management

Interpersonal skills

HIPAA privacy knowledge

RCM process understanding

Salesforce

Education

High School Diploma

Bachelor’s Degree in Business/Management or related area

Enrollment in a related program

Tools

Salesforce

Job description

Position:INTERNAL ONLY - Insurance Change Specialist

Location: AUSTIN, TX

Job Id:35104

# of Openings:1

Summary:

Reporting to the Benefits & Eligibility Manager this role supports the operations of the Action Behavior Centers, LLC (ABC) Revenue Cycle Management (RCMN) team to communicate all aspects of financial changes to our patients' families.

Duties and Responsibilities:

• Review and verify benefit changes for ABC families and document the plan details with relevant information such as funding status, Maximum Out of Pocket (MOOP) and effective date.
• Verify that all patient demographic data and primary contact information (phone, email, address, etc.) is current.
• Confirm completion of Insurance Coverage checks in Salesforce.
• Collaborate with Operation Managers (OMs) to assist with educating the family on their time-sensitive obligations if there are any changes/updates to their employment or insurance coverage.
• Deliver information to OMs should any Coordination of Benefit (COB) issues arise based on communication from the RCM team or directly from payors.
• Handle all communications with other departments in a courteous and professional manner, interact with sensitivity and be responsive to their individual needs.
• Receive and place telephone calls in a skillful manner using appropriate language.
• Manage all telephone and email communication with accuracy and respect for confidentiality while following all HIPAA regulations for privacy.
• Perform miscellaneous job-related duties as assigned.

Knowledge, Skills and Abilities Required:

• Ability to manage high volumes of work and organize/maintain a schedule independently.
• Ability to communicate effectively, both orally and in writing
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Understanding of the RCM process overall preferred but not required.
• High School Diploma required, Bachelor’s Degree in Business/Management or related area (or current enrollment in a similar program) preferred.
• 2 years’ experience related to the duties and responsibilities specified.

ABC offers evidence-based ABA therapy for children diagnosed with autism.

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