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Insurance Verification and Eligibility Specialist

Company: River Edge
Location: Macon
Posted on: November 22, 2021

Job Description:

River Edge offers outpatient services at our Emery Highway-Macon, Monroe County and Baldwin County locations. Outpatient services include behavioral health, nursing, and psychiatric assessment, stabilization and medication maintenance services as well as crisis intervention services as well as awareness, education and recovery groups. River edge is seeing an Insurance Verification and Eligibility Specialist. Location/Schedule: 175 Emery Hwy; Monday through Friday 8:30a to 5:00p Duties and Responsibilities: Verify client payers, Connects (Authorization, Registrations) Financial Application, Tx Plan, ANSA and annual update status daily as requested from centralized scheduling department, notify schedulers of any authorizations, Connects Documents, Tx Plan, ANSA and annual updates are needed. *

  • Run group and case management scheduled appointment reports weekly and make necessary changes to payers in the clients ECR. Notify program if current authorization needs to be obtained. * Complete Point of Entry Admissions, outpatient programs, as requested * Run and send CMO authorization reports, OTR requests, to programs weekly * Submit OTR request via GAMMIS portal as requested (Baldwin) * Run Admission report daily (M-F) to verify payer and identify, correct any issues Education Requirements: Must have at least a High School Diploma or GED All selected applicants must pass a satisfactory background clearance and pre-employment drug test. This position is subject to close at any time once a satisfactory applicant pool has been identified. Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered; however, only those selected for an interview will be contacted by the hiring managers. Applicants who are not selected will receive notification via email.

Keywords: River Edge, Macon , Insurance Verification and Eligibility Specialist, Other , Macon, Georgia

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