BENEFIT VERIFICATION SPECIALIST in Franklin, TN at Acadia Healthcare

Date Posted: 3/21/2020

Job Snapshot

Job Description


Benefit verification specialist

Acadia is a provider of behavioral healthcare services. At December 31, 2018, Acadia operated a network of 583 behavioral healthcare facilities with approximately 18,100 beds in 40 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.


The Benefit Verification Specialist is Responsible for the timely verification of insurance benefits and authorizations. 

  • Responsible for the timely verification of insurance benefits provided via websites and/or calling the payor.
  • Obtain precertification and authorizations for services being rendered
  • Review and resolves prior authorization/precertification/referral issues that are not valid and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial.
  • Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed.
  • Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly.
  • Identify and forward potential reimbursement problems with the Billing Team.
  • Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations and eligibility.

Job Requirements

  • High school diploma or equivalent.
  • Previous experience in patient access, registration, billing, insurance, or pre-certifications.
  • Previous experience with insurance carriers preferred.
  • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
  • Knowledge of office administration procedures with the ability to operate most standard office equipment.