Insurance Specialist
Equip
United States · Remote
Posted on Nov 21, 2024
About Equip
Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.
Founded in 2019 as a fully virtual company, Equip is built on the dedication of highly engaged, passionate, and diverse Equipsters who have shaped our unique culture. In recognition of this impact, Equip was honored in 2024 by Forbes as a Next Billion-Dollar Startup, LinkedIn as a Top Startup, TechCrunch as one of the 10 Most Exciting Digital Health Startups, Fast Company among the Most Innovative Companies, and Business Insider’s 44 Companies to Bet Your Career On. We are immensely grateful to our Equipsters for creating a sustainable company and treatment program that has served thousands of patients and families to date.
About the Role
The Insurance Specialist will be responsible for acting as a liaison between insurance companies, the patients/families, and the Clinical team at Equip in order to manage patient insurance verification and pre-authorizations, cost of care estimates, and maintain the RCM (revenue cycle management) database. The Insurance Specialist will manage both initial and ongoing insurance authorizations and operations in collaboration with Admissions and Finance, ensuring accurate treatment information is communicated to both payors, patients, and internal stakeholders.
The Insurance Specialist will possess strong verbal and written communication skills. The Insurance Specialist will be process driven with a strong attention to detail. The Insurance Specialist is comfortable working in a fast-paced startup environment, solving problems independently, and comfortable with ambiguity as systems and processes are still being shaped.
Responsibilities
- Develop collaborative relationships with insurance companies/payors to verify benefits, and submit and track authorizations.
- Update/enter patient demographics, guarantor, and insurance information in company systems
- Respond to inquiries from insurance companies, patients/families, and internal team members in a timely manner.
- Work collaboratively with the RCM, Finance, and Accounting departments.
- Manage timely responses with quality deliverables and documentation.
- Maintain confidentiality of patient care and business.
- Perform other duties as assigned.
Qualifications
- 3+ years of healthcare experience with billing or insurance verification
- Knowledge and experience with EMR and billing software programs.
- Strong, professional communication and interpersonal skills with proven experience effectively communicating with patients, clients, insurance companies, and internal team members.
- Familiarity with HIPAA privacy requirements for patient information.
- Ability to maintain and protect confidential information.
- Excellent organizational awareness, adaptability, and conflict management skills.
- A passion for living Equip’s mission and values.
- Hours: Monday - Friday; 8am - 5pm. Prefer Central or East Coast Hours
Physical Demands
Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.
Diversity, Equity, Inclusion, Belonging
At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip.
As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, and/or any other legally protected classification protected by federal, state, or local law.