Behavioral Health Insurance Specialist

Northeast Arc is seeking a detail-oriented and proactive Behavioral Health Insurance Specialist to support our Specialty ABA Services Division!

Job Summary: Manages all aspects of insurance verification and coordination for clients enrolled in ABA Services. Ensures timely and accurate collection, verification and maintenance of insurance information to support service delivery and billing compliance. Collaborates with administrative staff and program leadership to troubleshoot insurance issues and maintain payer readiness.

Major Responsibilities:

• Verifies insurance eligibility for all clients at the time of referral.

• Acts as a point of contact for clients explaining insurance coverage, answering benefit questions, and providing clear information regarding out-of-pocket expenses.

• Contacts insurance companies to secure authorizations for all required services.

• Works in collaboration with program directors and BCBA’s on ensuring authorizations are accurate and up to date.

• Troubleshoots insurance-related issues, including coverage denials, coordination of benefits, and missing information. Navigates insurance portals and online tools, resolves billing discrepancies, and provides documentation and updates as needed.

• Ensures accurate and up-to-date client and insurance data entries in electronic health records (EHR) system, maintains consistency and accuracy.

Qualifications:

• High School Diploma or Equivalent.
• Minimum of 2 years of experience in insurance verification, and healthcare administration.
• Strong understanding of insurance processes including Medicaid, commercial insurance, and managed care plans.
• Proficiency in electronic health records (EHR) and data systems.
• Strong attention to detail and ability to work independently while managing multiple tasks efficiently.
• Ability to sit, talk on the phone, and enter information into a computer for at least 70% of the day

Position Location (Town/Service Area): Danvers, MA

Work Environment: Performed in an office-environment

Pay-Rate: $29.00 Hourly