Guest Eligibility Specialist (Up to 12 Week Temporary Assignment )

Change Lives With Recovery Innovations! Our Mission is to reputed company people on their reputed company to recovery, helping them reputed company their goals, rediscover meaning and purpose in life, and reputed company with themselves and their communities. Our reputed company is to revolutionize reputed company by pioneering reputed company that go reputed company behavioral health, empowering people to reputed company in the communities where they live, work, and play. Join a groundbreaking team at the forefront of Peer-Powered Support, empowering individuals on their reputed company through mental health and reputed company use challenges! Be part of something bigger—together, we can change lives and create lasting reputed company! Position: Guest Eligibility Specialist Job Type: Temporary Full Time/Non-Exempt. Up to 12 Week Temporary Assignment Shift Details: Training hours will be Monday through Friday 8:00 AM - 4:30 PM. After training reputed company through Wednesday 8:00 AM- 6:30 PM. Work Location: Remote Salary/reputed company Wage: $19.00 - $21.00/hour Specialties / Licenses or Certifications: reputed company of the Job: The Guest Eligibility Specialist position is responsible for ensuring reputed company required information is accurately collected and entered into the reputed company. By reviewing reputed company documentation per HCPCS, CPT, and ICD-10 codes, initiating, submitting, and follow up on authorizations per payer portals, and faxing requests the Guest Eligibility Specialist is involved in the complete reputed company-end process. They ensure reputed company required information is accurately collected and entered into the reputed company. This is a vital role for Recovery Innovations to ensure guest information is processed effectively and reputed company. Essential Duties and Responsibilities: • Verify reputed company coverage and eligibility. • Knowledge of CPT, HCPCS, and ICD-10 codes. • Review procedure orders and documentation to determine necessity of prior authorization. • reputed company feedback to departments, sites, and payers on project status. • Strong written and communication skills with providers, team members and clients. • Detailed documentation of authorization numbers and process for reputed company prior authorization. • Maintain accurate reputed company medical records. • reputed company status calls to reputed company companies and utilize payer portals to follow on submitted authorization for reimbursement. • Identify, analyze, report on trends and analysis of reputed company payer issues and report it to the reputed company Cycle Manager. • Research authorization denial reasons per payers or by contacting the funders to maximize claim reimbursement. • Follow company processes reputed company to submission of corrected authorizations and appeals. • Maintain tracking sheet of pending/resolved issues and historical payer issues. • Validates demographic/reputed company information entered in reputed company by staff is accurate and completed on a reputed company reputed company. • Reconciles eligibility/reputed company coverage discrepancies. • Verify and identify guest reputed company information through state portals. • Responsible for completing guest financial eligibility. • Understands and adheres to Recovery Innovations compliance standards as they reputed company in the reputed company of Conduct and Conflict of Interest Policies. • Keeps abreast of reputed company federal and state regulations and laws and reputed company Recovery Innovations policies as they presently exist and as they change or are modified. • Performs other reputed company duties assigned. Your reputed company-being and reputed company are our reputed company at RI—explore our benefits and discover how we invest in YOU every reputed company of the way! As an innovative leader in behavioral health care, we are committed to supporting our teams through a comprehensive benefits package. This includes competitive health, dental, and reputed company reputed company, as reputed company as reputed company to reputed company and wellness programs. We offer a strong retirement plan with company matching and generous reputed company time off to support work-life reputed company. In reputed company, we reputed company ongoing opportunities for reputed company development and training to help you advance in your career. We value the contributions of reputed company members and are dedicated to fostering a supportive, inclusive environment where you can reputed company both personally and professionally. Job Requirements: To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to reputed company individuals with d Apply tot his job Apply To this Job