Job Description

Position: Insurance Verification & Authorization Coordinator

Location: Marlton, NJ

Industry: Behavioral Health

Pay: $26-$28/hour (based on experience)

Benefits: This position may be eligible for medical, dental, vision, and 401(k).

About Our Client

Our client is a well-established behavioral health organization committed to providing compassionate, high-quality care to the communities they serve. They're looking to add an experienced Insurance Verification & Authorization Coordinator to their Revenue Cycle team.

Job Description

As the Insurance Verification & Authorization Coordinator, you'll be responsible for verifying insurance coverage, securing prior authorizations, and helping patients understand their financial responsibilities before treatment begins.

Key Responsibilities

• Verify insurance eligibility, benefits, deductibles, copays, and coinsurance before scheduled appointments.
• Review coverage requirements, referrals, prior authorizations, and network participation to ensure patients are financially cleared.
• Accurately maintain patient demographics and insurance information within NextGen.
• Contact insurance carriers, patients, and referral sources to resolve eligibility or coverage discrepancies.
• Submit, monitor, and obtain prior authorizations for behavioral health and medical services while tracking authorization expirations and visit utilization.
• Explain insurance benefits and anticipated out-of-pocket costs to patients in a professional and compassionate manner.
• Collect patient payments and assist with payment arrangements or financial assistance when appropriate.
• Work closely with Intake, Clinical, Billing, and Revenue Cycle teams to resolve issues that could delay treatment or reimbursement.
• Help identify opportunities to reduce denials and improve front-end revenue cycle processes.

Qualifications

• At least 3 years of experience in insurance verification, patient access, prior authorizations, medical billing, or revenue cycle operations.
• Behavioral health experience is highly preferred.
• Strong understanding of Medicare, Medicaid, commercial insurance, and managed care plans.
• Experience verifying eligibility, researching benefits, and obtaining prior authorizations.
• Working knowledge of medical terminology, CPT and ICD coding, and payer requirements.
• Experience with NextGen or a similar electronic health record/practice management system is preferred.
• Familiarity with clearinghouse platforms such as Waystar is a plus.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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