Jobs · Human Resources · Pennsylvania

Verification of Benefits Specialist

Avenues Recovery Center · Warminster, PA · 1 mo ago
Human ResourcesFull-time

About Us

Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. Our success stems from our people combined with a premier clinical program, allowing us to transform the lives of thousands of individuals.

Responsibilities

  • Promptly receive and process prospective clients' insurance benefits.
  • Follow defined policies and procedures for all phases of the verification of benefits process, from ascertaining viability to procuring the benefit.
  • Use online and telephonic systems to verify prospective clients' benefits.
  • Ensure benefit documentation is accurate in the Salesforce.com system and other related systems/technologies.
  • Document and communicate benefits for different levels of care, including co-pays, deductibles, and all other out-of-pocket expenses.
  • Work collaboratively with the Admissions Office staff, the facility, and any other parties to support the desired outcome for the client.
  • Adhere to all regulatory and compliance policies while exhibiting compassion, professionalism, and care for the client.
  • Follow quality assurance guidelines, maintain up-to-date required training, and ensure effective staff communication.

Requirements

  • High School diploma or GED.
  • Experience working with commercial insurance and CMS.
  • Proficiency in Microsoft Office.
  • Demonstrated experience providing empathetic, compassionate, and professional care for individuals in need.
  • Experience using Salesforce and Availity.
  • Experience (professionally or personally) in the treatment of addiction or mental health.
  • Excellent verbal and written communication skills.
  • Excellent organizational skills with the ability to prioritize workload and meet deadlines.
  • Ability to work in a fast-paced environment with multiple competing tasks and demands.
  • Exceptional analytical and problem-solving skills.
  • If in recovery, 1 year of continuous sobriety is preferred.

Skills

  • Excellent interpersonal skills with the ability to receive constructive feedback.
  • Strong analytical, problem-solving, decision-making, and time management skills.
  • Ability to plan well and prioritize work.
  • Ability to work independently and within a team.
  • Proficient documentation skills.
  • Incredible listening skills.
  • Ability to multi-task and appropriately prioritize responsibilities in a fast-paced environment.
  • Strong focus on attention to detail and excellent communication skills.
  • Accurate and fast computer skills.

Work Environment

The Avenues Recovery Center Admissions Office is the spacious and bustling headquarters of our admissions department, located in Bucks County, Philadelphia. With 25-30 admissions specialists working onsite full-time, it is a welcoming and dynamic environment featuring a warm, enjoyable workplace culture. Located just down the block from one of our partial hospitalization/intensive outpatient facilities, you'll get a firsthand glimpse of the lifesaving work we do.

This job requires full-time onsite employment in Jamison, PA.

Benefits

  • 401K with 100% employer match.
  • Medical Insurance.
  • Dental Insurance.
  • Vision Insurance.
  • Accident Insurance.
  • Critical Illness Insurance.
  • Hospital Indemnity Insurance.
  • Voluntary Short-Term Disability Insurance.
  • Voluntary Long-Term Disability Insurance.
  • Employer-Paid Life and AD&D Insurance.
  • LifeTime Benefit Term Insurance with Long Term Care.
  • Legal Coverage.
  • Pet Insurance.
  • Identity Theft Protection.
  • Employer-Paid Employee Assistance Program.
  • Flexible Spending Account (FSA) - Medical.
  • Dependent Care FSA (DCFSA).
  • Generous PTO and compensation.

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