What are the responsibilities and job description for the Insurance Specialist position at Oakland Family Services?
WHY WORK FOR OAKLAND FAMILY SERVICES?
We know that in order for you to do your best work and meet our mission, you must be able to be your best self. At Oakland Family Services (OFS), we care about our staff as people first. We treat our team members like family and understand the importance of their families at home. We recognize the significance of flexibility and work/life balance.
We also know that your success…is our success. That’s why OFS not only honors the talent and experience you bring; we actively seek to develop it.
Oakland Family Services has proudly been named a Top Workplace for over ten (10) years in a row, voted on by our own staff. We offer a warm, engaging, equitable, supportive, and inclusive work environment.
ABOUT OAKLAND FAMILY SERVICES
Oakland Family Services is a private, non-profit service organization serving our community and building brighter futures for more than 100 years. We proudly offer a continuum of prevention, education and treatment services that span the human life cycle.
OUR MISSION: Providing individuals and families the opportunity to build brighter futures.
OUR VISION: Communities of thriving individuals and families.
Between our strong commitment to our mission and a workplace culture that puts our staff first, we enrich the lives of those we serve, strengthen families, and build brighter futures for those we serve and those we employ.
WHAT’S IN IT FOR YOU?
- Competitive compensation.
- Comprehensive medical, dental, prescription, and vision coverage.
- Flexible Spending Accounts and HSA options.
- Retirement plan with a company match.
- Long-term disability insurance.
- Voluntary short-term disability.
- Life insurance and AD&D.
- Malpractice insurance.
- Paid time off benefits, including generous vacation, sick, personal, and bereavement days.
- Twelve (12) paid holidays, including a floating holiday of your choice!
- Annual pay increases, as approved.
- Employee assistance program for you and immediate family.
- Network of support for your health & well-being.
- Verizon cellular plan discount.
- Mileage reimbursement at the IRS rate.
- Loan forgiveness programs.
PLUS...
- Commitment to diversity, equity, inclusion, and belonging.
- Family friendly practices and support.
- Flexible work schedules, as appropriate.
- Hybrid and virtual work options, as appropriate.
- Highly robust and comprehensive onboarding and training program.
- Paid professional development.
- Free online trainings that count toward continuing education credits.
- Employee assistance programs.
- “Dress for Your Day” approach to dress code.
- Financial literacy education and workshops.
- Collaborative annual performance appraisals.
- “Dollars for a Difference” program for clients and staff in need.
- And more!
*Some benefits applicable to regular, full-time employees only.
WE KNOW CULTURE MATTERS…
We spend many hours of our day working. Workplace culture affects our well-being, how we feel about coming to work, and how we perform. Oakland Family Services prioritizes having a healthy, inclusive, equitable, and effective workplace culture. That’s why we proudly have twelve (12) defined cultural value statements that dictate how we operate. Cultural values are embedded into all we do and how we do it!
…MORE ABOUT OUR AWARD-WINNING CULTURE
- Our CEO wants to get to know staff personally and has an open-door policy. She hosts regular staff lunches and townhalls to answer questions.
- Open, honest, and transparent communication is celebrated.
- We practice giving the benefit of the doubt.
- We believe that feedback is the breakfast of champions! That’s why we have a staff suggestion program.
- We want our team members to feel valued. That’s why we have a staff recognition program.
- Having FUN is an important part of the job! We love hosting events such as staff recognition celebrations and luncheons, road rallies, seasonal parties, food truck lunches, ice cream days, surprise giveaways, spirit weeks, Bring Your Child to Work Day, cook off/bake off contests, and more.
ABOUT THE OPPORUNITY/WORK
This position is responsible for providing detailed and complex monitoring of Treatment Services functions related to insurances to ensure efficient and successful operations. The Insurance Specialist provides back up coverage to the Intake and Insurance Verification Specialist and Office Coordinators at all locations. This position provides a wide variety of monitoring of details within the electronic medical record and client accounts. The position reports to the Supervisor of Clerical Operations.
- Supports effective client account management by verifying insurances monthly or annually depending on the insurance, verifying insurance changes, monitoring balances, collection phone calls, and accuracy related to co-pays and deductibles, for both the Day One and Specialized Services for Youth programs.
- Monitors the accuracy of information within CareLogic and ODIN to ensure billing processes can proceed without rejections.
- Collaborates with external billing agency to manage and problem-solve insurance rejections.
- Provides back up coverage to the Intake and Insurance Verification Specialist by answering over-flow services inquiries, obtaining client information, verifying client insurance and scheduling intakes.
- Supports efficient and accurate paneling of clinical staff in coordination with Quality Assurance and Clinical Supervisors, as well as maintaining accessible information regarding clinician’s status.
- Provides support at all office locations for front desk responsibilities in times of staff absences both planned and unplanned, in coordination with the Supervisor of Clerical Operations.
- Follows all policies and established procedures in order to provide continuity and consistency in all service locations.
- Generates and reviews reporting from CareLogic and ODIN (ie. write-offs, client balances, failed activities, accounts receivable aging) and then provides feedback to appropriate supervisors regarding recommended procedure changes and training needs.
- Makes bank deposits as scheduled, including the follow-up involved with any returned checks.
- Mails client statements on a monthly basis.
- Responds to client phone calls, assists with troubleshooting issues, and helps to reconcile balances.
- Prepares client statements for collections monthly. Enters collection accounts on collections website and maintains contact with collection agency representatives.
- Follows-up on receivable issues as directed.
- Researches monthly write-offs.
- Attends meetings within Treatment Services as appropriate.
- Participates in a hybrid work schedule, working a minimum of 2-3 days on site, as agreed upon with the Supervisor of Clerical Operations
- Responsible for incorporating principles of diversity, equity and inclusion in work processes and in job functions. Responsible for promoting a feeling of welcoming, belonging, and acceptance to all clients and staff.
Other duties as assigned.
Does this Describe YOU?
- High school diploma or equivalent required. Associates degree in related field preferred.
- A minimum of five years of experience in billing and/or insurance work.
- Extensive knowledge of insurance, including private/commercial insurance, Medicaid and Medicare.
- Experience in bookkeeping and/or patient accounting procedures.
- Training and proficiency in data management, Microsoft applications and electronic medical records.
- Organized and detail-oriented.
- Demonstrated customer service skills.
- Selected candidates for this position must possess a sensitivity to the diversity of the agency’s service population including (but not limited to) differences of culture, race, religion, gender, sexual orientation and socioeconomic.
- Special abilities and skills necessary to perform the required tasks and that best meet the needs of the agency also will be considered. There may be some standards above that may be waived when compensating specifications or circumstances exist.
Salary : $42,000 - $48,000