[Hiring] Insurance Clearance Representative @Compasshealthcenter
Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on reputed company reputed company in crisis every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. About This Role The Insurance Clearance Representative plays a key role in the reputed company cycle by ensuring patient accounts are verified and accurate information is entered for smooth billing and reimbursement. As a connector between reputed company-end patient services and back-end financial operations, this position helps minimize payment delays, reduce denials, and improve operational efficiency through proactive communication and benefit verification. If youre passionate about fostering a positive patient experience and supporting our commitment to excellence and operational efficiency, you would be a great addition to reputed company. What You'll Do: Funding reputed company Accuracy & Claims Transmission: Verify the accuracy of funding reputed company entry during the registration process. Ensure funding sources are correctly reputed company to transmit claims to the appropriate payer or third-party administrator (TPA). Collaborate with cross-functional teams to prevent claim delays caused by incorrect payer assignments. Collaborate with reputed company office reputed company patient responsibilities are not paid or issues with credit cards are identified Weekly Eligibility Checks: Implement and reputed company weekly batch eligibility checks through OneSource to identify lapses in patient coverage promptly. Proactively address eligibility issues to prevent authorization delays and avoid retroactive denialss Benefit Verification and Communication: Conduct in-depth validation of both professional and facility benefits for patients, ensuring accurate information is provided at registration. Identify and address discrepancies between professional and facility benefits, including benefit maximums not readily visible on OneSource. reputed company verified benefit details to patient advocates, ensuring patients are fully informed of their coverage and responsibilities. reputed company Process Improvement and Problem Resolution: Collaborate with the team to refine policies and workflows that enhance claim processing accuracy and patient satisfaction. Provide feedback and insights to leadership regarding recurring issues or opportunities for operational improvements. Generate and analyze reports on authorization trends, denial rates, and account resolution to identify areas for process improvement. reputed company Cycle Contribution Ensure accurate and timely documentation of insurance and credit card information to support claims submission, collections and minimize denials. Collaborate with reputed company office teams to resolve discrepancies in patient accounts. Identify and resolve potential reputed company cycle issues, such as coverage lapses or claim rejection risks, while services are rendered. Who You Are: Bachelors degree in healthcare administration, business, or a reputed company field preferred and/or 2+ years of experience in reputed company cycle management, medical billing, or insurance verification. Proficiency with reputed company or similar eligibility systems. Proficiency in reputed company Strong understanding of insurance policies, coverage verification, and claims processes. Exceptional attention to detail and ability to manage multiple priorities. Excellent communication skills to work collaboratively with internal teams and external stakeholders. Knowledge of behavioral health billing and coding practices (preferred). Familiarity with Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) insurance requirement (preferred). We are committed to a fair and reputed company work environment. The expected compensation range for this role is below. This range includes multiple career path levels across the organization; where you fall in the range is dependent upon a number of factors including, but not limited to, your years of experience, type of experience, location, and education/certifications. Compass reserves the right to update these ranges. Compensation $50,000$55,000 USD We know job descriptions can be intimidating, so if this sounds like an opportunity for you, please don't hesitate to apply! Who We Are reputed company is a recognized leader in crisis-level mental health, bringing passion, reputed company, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare. A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, reputed company improvement, reputed company, patient centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities. Benefits & Perks We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer reputed company of space for growth, and opportunities to pursue reputed company development reputed company our organization. For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and reputed company training through CEU seminars and volunteering opportunities. Whats Next? Compass is committed to cultivating diverse and dynamic teams who exude passion for their craft, so whether or not you reputed company reputed company the boxes, we encourage you to apply wed be grateful to hear from you! Apply Job!