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Insurance Specialist

Company: The May Institute Inc.
Location: Randolph
Posted on: March 14, 2018

Job Description:


Job ID


Job Location



Regular Full-Time



May Institute is an award-winning nonprofit organization that provides educational, rehabilitative, and behavioral healthcare services to individuals with autism spectrum disorders and other developmental disabilities. The Institute also provides training and consultation services to professionals, organizations, and public school systems. The organization is one of the largest and most well-respected providers of services and special education schools for children and adults with autism and other special needs in Massachusetts and in the U.S.

The May Institute s Consultation Services division is currently accepting resumes for a Full Time Insurance Specialist. The person in this position will be responsible for coordinating with all commercial insurance plans and state Medical Assistance (Medicaid) plans regarding development of contracts and network status for each state in which we currently do business.


* Check eligibility of members receiving insurance-based

* Communicate directly with the family if there has been a change in insurance provider(s).

* Maintain accurate and updated information for each family s insurance carrier(s).

* Call insurance companies to problem-solve coverage issues.

* Obtain authorizations for billable services prior to entering them into the system.

* Work to ensure that proper documentation is complete and accurate.

* Regularly review expiring authorizations and contact clinicians, if necessary, to make follow-up phone calls or obtain treatment plans.

* Ensure that all required documentation for insurance-funded clients is accurate and up to date.


* Experience with billing insurance companies

* Ability to work in a fast-paced environment independently and to collaborate with other professionals

* Computer fluency with Microsoft Office Products

* Willingness to learn new electronic clinical systems

* Ability to advocate with insurance companies to resolve issues around coverage and eligibility

* Working knowledge of all May Institute policies and procedures as well as relevant local, state and federal laws and the related requirements of varying funding sources.

* Experience working with insurance companies

Keywords: The May Institute Inc., Boston, Insurance Specialist, Other, Randolph, Massachusetts

Click here to apply!

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