Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • 200 Powell Place
    Brentwood, TN 37027

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Insurance Specialist jobs in Brentwood, TN delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

Insurance Verification and Placement Specialist

American Addiction Centers • Brentwood, TN

Posted 13 days ago

Job Snapshot

Full-Time
Experience - At least 5 year(s)
Degree - High School
Healthcare - Health Services
Insurance
47

Applicants

How Do You Compare to the Competition?

Get facts about other applicants with a CareerBuilder Account

Job Description

Overview

Job Summary:

The Insurance Verification and Placement Specialist works in collaboration with different departments across our community of facilities to obtain necessary billing and case management information prior to admission to verify client benefits to assist in placing clients into the appropriate program.  This role must build effective working relationships with the work group for the benefit of our clients.

Report to:  Manager of Assessment and Placement

Training Hours = 8:00am-5:00pm, Monday-Friday for first 6 weeks

Shift Hours = 8:00am - 5:00pm, Monday-Friday with a routing weekend coverage of 8:00am-5:00pm every 4th weekend

Responsibilities

Job Duties:

  • Make outbound calls to insurance companies to ensure eligibility and coverage for new and recurring clients seeking admission into one of our treatment facilities. Maintains composure throughout call, even when difficulties or communication barriers arise during the course of the call
  • Analyze patient eligibility and benefits and review presenting problem (diagnosis) to determine clinical appropriateness using ASAM Criteria and Insurance Medical Necessity Guidelines; documents client benefits and estimates LOC for proper placement decision
  • Inputs data and estimates LOC with accuracy (goal of 95% or better), ensures finished outcome/placement is high-quality, and places accuracy ahead of speed in performing job duties
  • Communicate client benefits and placement information clearly and concisely to Treatment Consultants/Treatment Consultant Managers and clients
  • Perform pre-claims authorization for clients prior to admission
  • Serve as a financial counselor responsible for estimating a client’s financial responsibility based on coverage information obtained
  • Relay necessary information in a concise manner to peers and clients/family members prior to admission
  • Serve as a resource for Treatment Consultants/Treatment Consultant Managers and their clients, Interventionists, and referral partners on matters relating to client insurance questions and out of pocket cost
  • Follow detailed processes and procedures as set forth by department managers to ensure a safe and accurate admission
  • Communicates effectively and concisely with both peers and individuals outside the organization; clarifies purpose and importance of topic, stresses major points, and communication follows a logical sequence. Asks well-prepared, thoughtful questions, and effectively builds trust and open communication. Able to speak persuasively, convincingly, and reassuringly when needed to facilitate open communication.
  • Applies knowledge of technical tools and healthcare methodologies to daily tasks, and serves as a source of institutional/industry knowledge to others.
  • Committed to ongoing learning; keeps abreast of latest healthcare rules and regulations relevant to job role
  • Perform day-to-day responsibilities with little supervision
  • Able to perform in a team environment; shares important and/or relevant information with peers, adheres to team expectations and guidelines to fulfill team responsibilities, and assumes new responsibilities when the opportunity arises
  • Consistently looks for ways to improve personal performance as well as process improvement for the team; accepts/acts upon constructive criticism and feedback from clients, Treatment Consultants/Treatment Consultant Managers, peers, and supervisors
Qualifications

Job Requirements:

  • High School Diploma or GED equivalent (Bachelor Degree preferable)
  • 2 – 5 years hospital verification and/or utilization review experience
  • Knowledge of managed health care and commercial plan
  • Knowledge of medical terminology; knowledge of behavioral health terminology preferred
  • Prior call center experience; prior experience in a patient-care setting and/or insurance verification environment preferred
  • Understanding of medical criteria
  • Prior case management pre-certification preferred in addition to verification
  • Excellent communication skills
  • Basic PC skills and Microsoft office skills (Internet explorer, Word, Excel, PowerPoint)
  • Salesforce experience preferred
  • Experience with online tools such as Emdeon, Navinet and Availity
  • If in personal recovery, a minimum of 2 years clean and sober


AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.

Job ID: 2018-1377
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

More Jobs at American Addiction Centers

View All Similar Jobs View All Similar Jobs