Senior Benefits Verification Associate

BAYADA Home Health Care is seeking a full time Insurance Confirmation Senior Associate in our Insurance Confirmation Home Health office. This is a remote opportunity. The Senior Associate, Eligibility is responsible for obtaining insurance benefits and verifying insurance eligibility and home care benefits. This position will serve as a liaison between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and support is required to effectively communicate eligibility status. The Senior Associate will also provide mentorship and educational support to team members. Hours: 8:30am - 5:00pm EST Responsibilities: • Verify eligibility and care benefit information for designated referrals, including, but not limited to deductibles, co-pays, policy limitations, exclusions, lifetime maximums, and billing addresses. • Communicate with the appropriate service office and coordinator when insurance benefits are not adequate, when out-of-pocket expenses are high, when a policy does not require pre-certification, when a client is not eligible, or there are overall plan changes. Update files appropriately. • Perform eligibility checks thoroughly and in a timely fashion. • Enter plan information for all referrals not requiring a benefit confirmation. • Reconfirm benefits for all active clients on a reoccurring and/or ad hoc basis as required. • Collect completed payor forms from service office and send them to appropriate department/insurance to release benefit and financial info on clients as needed. • Identify if a service office is credentialed and contracted with insurance. • Clearly document all benefit and billing information in appropriate systems. • Identify when insurance representatives misquote benefits and assist them in retrieving accurate information. • Post benefit confirmations to the service offices. • Inform collections of changes to client billing information, update bill-to numbers, and answer billing-related questions as needed. • Complete insurance verifications to identify changes in benefit eligibility. • Obtain eligibility documents from payors or third-party systems to substantiate billing requirements, especially for coordination of benefit procedures. • Assist offices in relaying benefit information to clients if necessary. Qualifications: • Four (4) year college degree. • Two (2) to four (4) years of relevant work experience with growing responsibilities. • Minimum 1 year of benefit experience • Prior healthcare and/or home care experience preferred. • Proficient knowledge of insurance benefits and contracts. • Demonstrated record of strong interpersonal skills and building relationships. • Ability to work independently, motivate and be self-motivated, and flexible. • Strong customer service skills and demonstrated commitment to quality in all customer encounters. • Demonstrated record meeting and/or exceeding goal achievements. • Proven ability to multitask and manage competing priorities. • Good analytical skills with the ability to problem solve and exhibit good judgement • Must have Managed Medicare and Managed Medicaid experience • Superb customer service and telephone skills • "All hands-on deck" attitude • Overall professional demeanor and presentation • Strong PC skills • Alignment with our core values of compassion , excellence , and reliability Base Pay: $24.00-27.00 per hour depending on qualifications As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here . BAYADA Home Health Car