Verification Manager

3 weeks ago

Karachi, Sindh, Pakistan Galaxy EHR Full time

Direct message the job poster from Galaxy EHR

HR Professional | AI & Data Expert | Texas A&M Graduate

Why Galaxy?

The current delivery model for mental health care is broken in this country. Galaxy set out on a mission to reimagine how mental health care is delivered to every American. Our goal is to provide a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually so our patients can be seen at their convenience.

Through a combination of exceptional medical and psychological care and best-in-class technology, we provide an unparalleled approach that serves our patients' needs in an integrated way. Join us in our mission to ensure that every person has access to affordable and accessible mental health care.

About The Role

The Verification Manager at Galaxy will be responsible for overseeing the verification process for patient eligibility, insurance coverage, and compliance with healthcare regulations. This role requires strong attention to detail, excellent organizational skills, and the ability to work efficiently in a fast-paced environment. The ideal candidate will have experience in healthcare verification, insurance claims, or medical billing, ensuring a seamless and accurate verification process for our patients.

Responsibilities

  1. STRONG ability to speak professionally in ENGLISH is REQUIRED.
  2. 5+ years of experience in healthcare verification, insurance claims, or medical billing.
  3. Strong knowledge of insurance plans, healthcare policies, and verification processes.
  4. Proficiency in healthcare software, EHR systems, and insurance portals.
  5. Excellent communication skills, with the ability to interact professionally with patients and insurance providers.
  6. Strong organizational and problem-solving abilities with attention to detail.
  7. Ability to work in a fast-paced environment and meet deadlines efficiently.

Requirements

  1. Responsible for obtaining verification of patient payer benefits and eligibility for the services.
  2. Identifies Private Insurance, Depended Insurance, and their plans Medicare/Medicaid.
  3. Verify Insurance through portal and also good grip on the portals for verification.
  4. Verify that the case needs authorization or referrals as defined by payer.
  5. Explain to patients what their financial responsibilities will be and then update the profile accordingly.
  6. Identifies the COB according to the insurances and their plans and let know the patient if it needs to update.
  7. Knowledge of specific contracts between the agency and various payers.
  8. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  9. Answers questions from patients, clerical staff and insurance companies.
  10. Maintains patient demographic information and data collection in systems.
  11. Investigate and resolve customer complaints.
  12. Gathers all insurance eligibility, termination, and resource information for clinic's Billing department.
  13. Collaborates with patients, and departments to obtain all necessary information prior to patients scheduled appointment.
  14. Collaborates with the insurance if unable to verify eligibility and benefits info prior to patients scheduled appointment.

Our goals are to find the best, attract the best, and offer a competitive salary—which is why we prioritize the quality of the hire over the number of hires. We offer zero-stress medical, dental, and vision coverage, competitive salaries, and a generous PTO policy. We are excited to tell you about a few "perks" we offer that are unique to Galaxy. We've spent time thinking through what it means to be a modern mental health company and how we can better align these additional perks with our mission and values.

Additional Information

The expected base pay for this role will be between $400.00 – $700.00 monthly at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Galaxy Health-sponsored benefits.

So—what do you think?

If you've made it this far, well, we're excited to meet you too. Just one more thing that we want you to remember: we pride ourselves on our meritocratic, performance-driven culture. We are a startup and move at the speed of light. You might be required to wear multiple hats at any given time. There's no room for complacency. Your scope of responsibility and opportunity to make a difference will be uncapped at Galaxy, but we need your commitment that you will work tirelessly for our patients, parents, and partners. At the end of day, our team is committed to helping you succeed at Galaxy because when you succeed, our patients succeed, and we get one step closer to solving the mental health crisis. We're hopeful that this role will give you the experience to go and do whatever you want in life but the fulfillment to make you never want to leave our team. We look forward to solving the mental health crisis, together.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Galaxy, please go directly to our Careers Page: https://psychplus.com/careers

Galaxy will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Galaxy will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Galaxy will only be sent from @Galaxy.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

At Galaxy, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide accessible and affordable mental healthcare to every one of our patients.

Galaxy applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Information Technology

Industries

Technology, Information and Internet and Hospitals and Health Care

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