Insurance & Referral Coordinator

ABOUT RYTHER:
Helping children, youth, young adults, and their families find their path to healing and hope is at the core of our work. We can only achieve this by striving for excellence and providing an array of services that are needed and wanted by the community we serve. We are continuing to expand our service array and locations where we provide services, with therapists in more schools and social service agencies. As we expand our services to serve more than 800 children, youth, and young adults each month – regardless of payer, gender identity, sexual orientation, race or ethnicity, or place of origin – we do so with the intention that we would want our own families to use these services should they need them. The staff at Ryther are committed to creating and maintaining a culture that is informed and reflective of trauma recovery and racial equity and social justice principles.

ABOUT THE ROLE:

As a member of the Intake team, the Insurance and Referral Coordinator checks insurance or other benefit authorizations for all potential clients, fields all incoming phone, fax, and electronic inquiries, provides customers with emotional and crisis support when needed and screens all service requests. The Insurance and Referral Coordinator work in support of outpatient programs including but not restricted to: ABA, SUD/COD, and WISe.

KEY AREAS OF RESPONSIBILITY:

  • Provide a consistent environment of support for agency admissions and intakes.

  • Effectively collaborate with all departments in order to provide potential clients with easy access to agency services.

  • Maintain appropriate personal and professional boundaries with clients, families, co-workers, and community resources.

  • Maintain a polite and professional manner at all times; demonstrate appropriate behaviors, emotions, and communication skills, i.e. frustration tolerance, conflict resolution, and problem solving skills.

  • Responsible for coordinating with insurance companies or other funding bodies for the initial authorization for agency services (SUD, ABA, and WISe).

  • Provide initial assessment of client’s likely needs and the agency’s ability to provide appropriate services in a timely manner.  

  • Communicate with caregivers as needed (i.e. to follow up about pending forms).

  • Ensure that insurance or other benefit authorizations for all potential clients are accurately checked and assist in the coordination of all admissions for agency services.

  • Ensure accurate documentation of all communications between Ryther and community agencies and outside companies.

  • Accurately enters relevant billing information into client database on a regular and timely basis.

  • Accurately prepares financial paperwork Informs clients of their insurance policy’s coverage, and the amounts due for deductibles, co-insurance and Out-of- Pocket responsibilities for the identified services sought.

  • Assist accounting staff as needed regarding authorizations, re-authorizations and benefit related issues.

  • Maintain confidentiality and exercise discretion with regards to clients & staff in accordance with HIPAA requirements.

  • Assists finance department in trouble-shooting claims issues around insurance credentialing/contracting as needed.

  • Attend and participate in regularly scheduled staff meetings, program development meetings, trainings, and staff retreats.

  • Promote effective teamwork, cooperation and communication among program personnel.

  • Seek and/or utilize feedback provided by supervisors for professional development.

  • Demonstrate a high degree of skill in communication and positive interaction with all Ryther employees, prospective employees, external agencies/companies and the community at large.

  • Perform all other duties as assigned.

​​

ESSENTIAL JOB REQUIREMENTS

  • Commitment to the Vision and Mission of the agency.

  • Acceptance of a variety of lifestyles, behaviors, cultural, and spiritual practices.

  • Ability to use office equipment that includes copy machine, telephone, fax and PC.

  • 21 or more years of age.

  • Bachelor’s degree is preferred. Suitable experience can be substituted.

  • Ability to work as a team member and independently.

  • Knowledge of negotiation and problem solving skills.

  • Ability to exercise discretion and maintain customer and employee confidentiality.

  • Ability to concurrently work on multiple tasks and to complete emergent assignments within the time frame identified by the supervisor.

  • Ability to model appropriate behavior and socialization skills for clients and their families.

  • Adequate hearing and visual acuity to assess verbal and non-verbal cues.

  • Communicates clearly and effectively, both verbally and in writing, with other agency personnel, referring persons, and the public.

  • Valid state driver’s license and liability insurance.  Must provide own transportation.