Insurance Liaison

Job DetailsJob Location: Arizona Rehab Campus - Tucson - Tucson, AZ 85715The Insurance Liaison is responsible for ensuring clients maintain active and accurate insurance coverage throughout their treatment episode. This role serves as a liaison between clients, insurance carriers, marketplace plans, county agencies, and ARC departments to facilitate insurance verification, coordination of benefits, coverage maintenance, and documentation requirements. The Insurance Liaison assists clients in resolving insurance-related issues, preventing lapses in coverage, and ensuring all insurance information is accurate and current to support uninterrupted access to care. 

DUTIES AND RESPONSIBILITIES 

Verify client insurance eligibility and benefits prior to admission and throughout treatment  

Conduct insurance audits to ensure coverage remains active and identify any lapses or discrepancies  

Complete and maintain Verification of Benefits (VOB) documentation  

Assist clients with insurance renewals, extensions, reinstatements, and eligibility updates  

Coordinate and maintain accurate Coordination of Benefits (COB) information  

Assist clients with cancellation of Marketplace plans when appropriate to ensure proper insurance coordination  

Assist clients with obtaining and submitting insurance documentation through county, state, and insurance portals  

Help clients establish and maintain access to DCS and other electronic systems required for document submission  

Communicate with insurance carriers, government agencies, and healthcare partners regarding eligibility and coverage matters  

Collaborate with Admissions, Billing, Utilization Review, and Clinical departments regarding insurance-related concerns  

Ensure timely processing of insurance information and supporting documentation  

Maintain accurate records and documentation in EMR systems  

Monitor insurance status throughout treatment to minimize disruptions in care  

Educate clients regarding insurance coverage, benefits, and responsibilities  

Ensure all insurance information, VOBs, and COBs remain accurate and up to date  

OTHER SKILLS & ABILITIES 

Must be motivated to work with minimal supervision  

Knowledge of recovery and co-occurring disorders  

Basic understanding of substance abuse and mental health treatment services  

Ability to navigate complex insurance and government benefit systems  

Experience in crisis intervention and conflict resolution preferred  

Ability to work with both male and female population  

Ability to multi-task and work well with team members  

Strong attention to detail and organizational skills  

Ability to advocate for clients while maintaining professional boundaries  

Understanding of insurance verification, eligibility determination, Coordination of Benefits (COB), and Verification of Benefits (VOB) processes  

Qualifications

High School Diploma or Equivalent required 

Ability to work with 18 years and over substance abuse/dual diagnosed population  

Excellent customer service skills and knowledge of insurance plans, eligibility requirements, and community resources  

Must possess excellent written and spoken English language skills  

Must possess a valid driver's license and a safe driving record  

1-2 years of experience in healthcare administration, insurance verification, admissions, billing, or related field preferred  

Knowledge of Medicaid, Medicare, Marketplace, and Commercial insurance plans preferred  

CPR/FA Certification – to be obtained within first 30 days if required for position 

Fingerprint Clearance Card – have current card or show proof of applying within 7 days from hire date if required for position 

Handle with Care – to be obtained within first 30 days if required for position 

Successful clearance of pre-employment criminal/county/state background check 

Successful clearance of pre-employment drug and alcohol testing 

Successful clearance of TB PPD testing upon hire and annual screening of TB symptoms 

Attending clinical oversight with BHP once every 2 weeks worked for a minimum of 2 sessions per month. 

Additional Notes: 
America’s Rehab Campus’s is an Equal Opportunity Employer, a drug free workplace, and complies with Veteran and ADA regulations as applicable.