Client Access Representative - #448658

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.

Client Access Representative Overview

The Client Access Representative ensures demographic information is complete and accurate, obtains insurance information, and accurately verifies coverage and authorizations are appropriately obtained for scheduled services.

Schedule

• Full Time 40hrs/wk (1.0 FTE), working Monday through Friday approximately 9:00 - 5:30pm.
• Openness to considering flexibility in establishing shift times, preference towards shift times that help with Pacific Time Zone coverage.
• Remote position
  
  

How Client Access Representative's Empower Recovery

• Verify insurance benefits for all clients in all regions using payer websites, payer IVR systems and via direct phone contact.
• Ensure financial eligibility is set up to bill all services correctly in Practice Management System and customize as required for accurate billing.
• Ensure accurate billing by pulling multiple reports to identify clients that need monthly eligibility verifications, changes to billing information, insurance card review, outpatient authorizations, and other error management tasks.
• Work closely with Office Managers and Utilization Review staff to communicate any applicable insurance exclusions and eligibility information.
• Obtain initial and continuing authorizations for intake and outpatient services.
• Point of contact for benefit and authorization questions from other departments and locations.
• Work closely with billing team to triage insurance denials related to Eligibility and Benefits. Including; obtaining retro authorizations and other documentation for claim denials and appeals, calling insurance companies to investigate issues, and working closely with Utilization Review and Client Accounts to obtain information from clients.
• Assist in reviewing and updating reference materials with known coverage, authorization and exclusion information for all payers.
• Appropriately document and track insurance-related waivers that require a timely client signature.
• Actively participate in the onboarding and orientation of new team members.
• Other duties as assigned to meet needs of department and/or organization.
  
  

Qualifications

• High School Diploma Required
• Minimum of 1 year experience in healthcare office environment, behavioral health industry and/or insurance company a plus.
• Required understanding of and experience with insurance benefits and authorization requirements.
• Significant experience using Microsoft Office - Word, Excel, PowerPoint, Outlook
• Strong attention to detail and commitment to quality.
• Solid Interpersonal skills with the demonstrated ability to develop and maintain productive relationships.
• Shows passion for our business, clients, and values.
  
  

What We Offer

Employee Benefits: We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs.

For Full-time Employees, We Offer

• HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
• Dental insurance (Delta Dental)
• Vision insurance (EyeMed)
• Short-term and long-term disability insurance
• Company-paid life insurance
• 401(k) plan available two months after start date
• Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
  
  

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.