Insurance Verifier (Behavioral Health)

Empowering Wellness, Transforming Lives

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, A Positive Choice, and PsycHealth, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.

As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.

Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.

A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

Job Description:

We are seeking a detail-oriented and organized Insurance Verifier to join our team. The Insurance Verifier will be responsible for confirming patient insurance coverage, ensuring accurate billing, and coordinating benefits to maximize reimbursement for services provided. This position requires excellent communication skills, attention to detail, and the ability to work independently in a fast-paced environment.

Key Responsibilities:

• Verify patient insurance coverage and eligibility for services.
• Accurately input and update insurance information in the system.
• Confirm coverage details including deductibles, co-pays, and co-insurance amounts.
• Coordinate with insurance companies to resolve coverage discrepancies or questions.
• Obtain authorizations for services when necessary.
• Provide excellent customer service by answering patient questions about their insurance and benefits.
• Work closely with the billing department to ensure proper claims submission and follow-up.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Perform other duties as assigned.
  
  

Qualifications:

• High school diploma or GED required; associate degree or higher preferred.
• Minimum 1-2 years of experience in insurance verification, medical billing, or a related healthcare field.
• Familiarity with medical terminology, CPT and ICD-10 codes, and insurance guidelines.
• Knowledge of insurance verification processes, including Medicare, Medicaid, and private insurance plans.
• Strong attention to detail and excellent organizational skills.
• Proficiency in medical billing software and Microsoft Office Suite (Word, Excel).
• Ability to communicate effectively with insurance companies, healthcare providers, and patients.
• Ability to work independently and as part of a team.
• Familiar with multiple insurance portals.
  
  

Preferred Qualifications:

• Experience with EHR System.
• Bilingual skills are a plus.
  
  

Compensation:

Competitive salary commensurate with experience and benefits package including health insurance, PTO, and 401(k) options.

Pay range

$18—$22 USD

Benefits

Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:

Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.

Short & Long-Term Disability Benefits: Protection when you need it most.

Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.

Flexible Spending Accounts: Manage your finances with flexibility.

Employee Assistance Program (EAP): Support when life throws challenges your way.

401(K): Building your financial future with us. Effective after 1 year of employment.

Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.

Paid Holidays: Quality time to enjoy celebrations.

Employee Referral Program: Share the opportunities and reap the rewards.

Company Discount Program: Enjoy savings on everyday expenses and memberships.

Equal Employment Opportunity

Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.

Pre-Employment

Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.