Insurance Coordinator

UNIFI Autism Care is seeking a detail-oriented Insurance Coordinator to join our team! This role is crucial in managing patient information, coordinating with insurance providers, and ensuring smooth billing processes for our autism care services. This position offers an opportunity to make a meaningful impact on families' lives while working in a flexible environment. If you're passionate about healthcare administration and want to contribute to quality autism care, we encourage you to apply. 

About UNIFI 

The mission of UNIFI is to create an autism care system through innovative and integrated behavioral healthcare, via collaboration among all the patient’s treatment providers in a shared pursuit to obtain meaningful outcomes. We recognize the importance of a unified approach to autism care and are partnering with healthcare systems to better serve our patients.  

UNIFI is committed to living and breathing our values of Compassion, Acceptance, Reliability, and Effectiveness (C.A.R.E.) -- with our patients, their families, and our staff. 

Essential Duties and Responsibilities  

• Manage and verify patient information  

• Coordinate with insurance providers to confirm coverage details and network participation in a timely manner.   

• Collaborate closely with the intake team to ensure that they have the necessary information regarding coverage to relay to our clients.   

• Collaborate with the clinical team to ensure all encounters are documented and closed in a timely manner. 

• Ensure that all charges are captured and perform claims submission  

• Proactively research payer guidelines related to ABA and keep all team members informed of rules and changes.   

• Report any inconsistencies, challenges, or updates to the leadership team promptly. 

• Performs other duties as assigned or requested 

• Tracking authorization expirations and renewals 

• Collaborating with clinical team to obtain necessary documentation for authorizations 

• Submitting authorization requests and following up on pending authorizations 

• Timely submission of appeal documents for authorization denials 

• Schedule medical necessity review phone calls based on clinician availability and payer requirements 

• Educating families on their insurance benefits and financial responsibilities 

• Assisting with developing payment plans when needed 

• Answering patient/family questions about billing and insurance 

• Assist with audit requests and ensure that requested information is submitted timely 

• Assist with internal audits of insurance processes 

• Generating reports on key insurance metrics (e.g. authorization utilization, claims aging) 

• Working closely with clinical, billing, and intake teams to ensure smooth insurance processes 

• Participating in cross-functional meetings to address insurance-related issues 

Knowledge, Skills, and Abilities 

• Outstanding organization, accuracy, and attention to detail 

• Strong communication skills, both written and verbal 

• Ability to work remotely and manage time effectively 

• Strong interpersonal skills to effectively work with patients’ families, payors, and team members 

• Knowledge of Microsoft office and medical billing terminology 

Travel 

The Insurance Coordinator will occasionally travel to UNIFI clinics for training sessions and meetings. There will also be occasional travel for conferences and professional development training. Travel expenses will be paid for by UNIFI and mileage can be expensed. 

Requirements

Experience and Education 

• Minimum of 1 years of experience in medical front desk or billing 

• Familiarity with ABA billing procedures and requirements is a significant advantage 

• Proficiency in using the Rethink practice management system is highly desirable 

• High school diploma or equivalent 

• Associate degree or certificate in medical coding and billing preferred  

Physical Requirements 

• The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform essential duties.  
• While performing the duties of the position, the Insurance Coordinator must be able to operate standard office equipment and keyboards and talk and hear (both in-person and by telephone). The employee may occasionally lift and carry marketing materials and booth displays up to 20 pounds.   

Benefits

• Highly competitive pay  

• Fully remote  

• Generous paid time off and paid holidays  

• Medical, dental and vision insurance   

• 401k with company match  

• Opportunity for career advancement  

• We genuinely care about our team members 

 This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required by the employee. Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.  

UNIFI is an equal opportunity employer, and we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital or partnership status, military status, or disability status, or any other characteristic protected by law.