Insurance Operations - Insurance Verification Representative

We are excited to post about an opportunity to join the Insurance Operations Team as part of the Insurance Verification Department! Please see below for job responsibilities, requirements, and information of how to apply.

Responsibilities:

• Deliver prompt, courteous customer service through multiple software applications (email, chat, phone) and technology platforms to provide front line support to clients and clinicians.
• Verify insurance coverage and benefits utilizing all available verification and eligibility tools and contact payers as needed.
• Collect patient data involving medical, demographic, and insurance information, following HIPAA guidelines, and accurately enter insurance information into practice management systems.
• Use discovery, critical thinking, and problem-solving processes to troubleshoot issues and generate solutions.
• Communicate cost estimates and insurance benefits to clients and clinicians utilizing email, phone, and EMR system.
• Complete insurance benefits verification in a timely manner, update demographic and insurance information and alert staff to changes, obtain authorizations, and ensure appropriate coverage and benefits.
• Advocate for clients’ issues, inquiries, concerns, needs, and suggestions while maintaining ownership of the case and follow-through to completion.
• Thorough documentation of all client interactions within our ticketing and contact center software platforms.

You will also be cross-trained with the other Insurance Operations department, Provider Enrollment.

• Assisting with insurance enrollment of newly hired therapists
• Assisting with CAQH profile updates
• Tracking and contacting therapists regarding upcoming expirations of license, professional insurance, etc.
• Reviewing insurance enrollment statuses
• Responding to email inquiries
• Updating individual and group profiles with insurance companies
• Adding providers to multiple insurance enrollment platforms
• Other duties as assigned.

Requirements:

• Great communication skills and the ability to collaborate with staff members across multiple departments.
• Ability to prioritize and organize tasks with solid time management skills.
• Strong attention to detail.

Equal Opportunity and At Will Statement:

GLPG does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors.

Employment with Great Lakes Psychology Group is at will. This means employment with Great Lakes Psychology Group is for an indefinite period of time and it is subject to termination by you or Great Lakes Psychology Group, with or without cause, with or without notice, and at any time.

About Great Lakes Psychology Group

Great Lakes Psychology Group (GLPG) was formed in 2011 by a small group of therapists who shared the same passion for helping others. GLPG values innovation, progress, and effectiveness to ensure the delivery of the best quality behavioral health services to all clients everywhere.

Schedule:

• Monday to Friday

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Weekly day range:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 1 year (Preferred)
• Customer service: 1 year (Preferred)

Ability to Relocate:

• Troy, MI 48084: Relocate before starting work (Required)

Work Location: Hybrid remote in Troy, MI 48084