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About the Role
Family Service League is seeking a part-time Insurance and Verification Specialist to support the Children and Family Treatment and Support Services (CFTSS) program. This role ensures clients have received required prior authorizations from Managed Care Organizations and verifies that all enrolled clients maintain active and valid insurance coverage.
Responsibilities
- Submit insurance prior authorization requests and all required documentation in a timely manner.
- Coordinate with various Medicaid Managed Care Organizations regarding authorization requests.
- Attend webinars and stay current on all requirements for authorizations for each Managed Care Organization (MCO).
- Maintain and update authorization tracking tools for monitoring authorization status.
- Notify the billing vendor of authorizations received.
- Verify insurance eligibility and coverage status for clients.
- Communicate with CFTSS staff to ensure all required documentation for authorizations is obtained.
- Navigate insurance verification systems, including ePACES and Availity Essentials.
Requirements
- High school diploma or equivalent required.
- One year of related experience working in medical billing, coding or authorizations.
- Proficient computer skills, including Microsoft Office, especially Excel required.
- Familiarity with medical software and insurance websites.
- Advanced Excel skills.
- Ability to work both independently and as part of a team in a fast-paced environment.
- Excellent organizational, and verbal and written communication skills.
- Strong initiative, attention to detail and the ability to multi-task are required.
- Prolonged periods of sitting and working at a computer.
Skills
- Microsoft Office
- Excel
- Medical software
- Insurance websites
- ePACES
- Availity Essentials
Location
- Long Island
Work Type
- Part-time
- Remote
- Hybrid
Experience Level
- 1 year of related experience
Education Level
- High school diploma or equivalent
About the Company
- Established in 1926, Family Service League is a social services agency transforming lives and communities through mental health, addiction, housing, and essential human services with more than 60 social service programs in over 20 locations.