Help coordinate patient care by ensuring patient needs are addressed promptly through collaboration, communication, and coordination, including scheduling appointments, processing referrals, calling patients, and answering patient calls while handling Protected Health Information (PHI) as defined by HIPAA.
- Contacts patients' insurance carriers to perform specialized verification of behavioral health benefits, copay structures, deductibles, and pre-authorization requirements prior to scheduled encounters.
- Submits, tracks, and manages prior authorization (PA) requests for IBH referrals reviewed by the clinical team, documenting status updates directly in the EHR.
- Serves as the primary point of contact for insurance inquiries and coverage clarifications related to integrated behavioral health services.
- Guides patients through fee-for-service financial agreements and ensures required informed consent documentation is fully explained and signed prior to the clinical encounter.
- Addresses patient questions, concerns, and payment discussions regarding behavioral health billing during warm handoffs or scheduled visits.
- Associates degree or equivalent combination of training and experience
- Medical insurance
- Prescription drug insurance
- Dental insurance
- Vision insurance
- Life and AD&D insurance
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