Analyst, Medical Benefits IOP

We are seeking a Medical Benefits Analyst to join our Intake Team — a strategic, forward-thinking team member who can blend professional skills with purpose-driven passion.

Ready to Lead With Purpose?

If you’re a Medical Benefits Analyst who’s as passionate about people as you are about performance, Ashley Addiction Treatment is where you can make a real difference.

Apply today and help us transform lives — including your own.

At Ashley Addiction Treatment, we believe healing happens when compassion meets innovation. Founded in 1983 by two visionaries who knew addiction treatment should care for the whole person—not just the disease—Ashley continues to live its mission:

“To transform and save human lives by integrating the science of medicine, the art of therapy, and the compassion of spirituality.”

Why You’ll Love Working Here

At Ashley, we take care of our people as passionately as we take care of our patients. You’ll enjoy a comprehensive, rewarding benefits package that supports your well-being and growth:

Total Rewards & Perks

• PTO: Generous PTO policy.
• Paid Holidays: Up to seven annually, based on hire date.
• Medical, Dental, & Vision Insurance: Starting the first of the month after hire.
• Generous HRA contribution with medical plan enrollment.
• 401(k) with Company Match: $1-for-$1 match up to 6%.
• FSA Eligibility for pre-tax savings.
• ❤️ Company-Paid Life Insurance and Short & Long-Term Disability.
• Buy-Up Life Insurance with spouse/child coverage options.
• Tuition Reimbursement: Up to $5,250 annually after one year.
• Wellness Perks: On-site gym, tranquil 1-mile walking loop, and discounts on Massage & Acupuncture services.
• ️ Perks & Discounts: Movie tickets, theme parks, events, online shopping, and more via Life Mart.
• Spiritual & Emotional Wellbeing: Daily non-denominational services and Employee Assistance Program (EAP).
• Community: Employee events, inclusive culture, and 147 acres of peaceful waterfront property.

Your Impact

As our Medical Benefits Analyst, you will:

Documentation

• Ensure inpatient substance abuse benefits are clearly and accurately documented and can be easily translated by the admissions and patient financial services staff.
• Special benefit considerations are clearly documented and easily identified.
• Assists Admissions staff with incoming calls; logs in initial patient information to database and initiates admissions process. Assists the Admissions Staff when a systems error occurs within Stockell or Tier specifically regarding insurance benefits. When applicable initial payments are documented correctly in Tier and Stockell.
• Ensures financial consents are entered and verbiage is added as necessary. Updates the benefit handbook as needed.

Coordination

• Ensures initial payments, Payor Code and Payor Organization information is consistent.
• Advises Utilization Review, Patients Accounts and Billing Departments of insurance protocols.

Admissions

• Assists Admissions staff with incoming calls.
• Recognizes when a potential patient with physical or psychiatric conditions needs to be referred to the Admissions Nurse Case manager for medical approval.
• Completes assigned callbacks in a timely manner.
• Prepares in advance for scheduled admissions.
• Greets and welcomes patients and family members upon arrival. Obtains necessary releases.
• Ensures Releases of Information are properly created for the appropriate parties.
• Notifies Referral Source upon admission.
• When applicable, completes thorough and accurate initial managed care clinical reviews based on DSMIV codes and ASAM criteria; documents outcome.

Call Handling

• Responds to callers and insurance representatives politely. Answers questions appropriately.

Insurance / Benefit Processes

• Communicates our type of facility and the services provided effectively to obtain accurate benefit information.
• Maintains resources for insurance verification purposes. Assists Case Managers with aftercare benefit information.
• Completes insurance verifications as assigned.

Difficult Situations

• Identifies difficult situations and refers to supervisor.

Financial Services

• Assists the Patient Financial Services Department and/or Patient Accounts Representatives regarding payment or insurance problems.

What You Bring

• High School; college preferred.
• Knowledge of medical insurance.
• Good verbal and written skills; read and understand insurance requirements.
• Some financial background helpful; good arithmetic skills.
• Knowledge of Microsoft Office to include Outlook, Word and Excel. C
• PR certification.
• Glean information from insurance companies or managed care companies, patients and families and determine benefits allowed. Communicate information clearly to staff, patients and families.

Our Commitment

Every team member at Ashley:

• Model and reinforce our mission, values, and culture of excellence.
• Protects patient privacy and upholds HIPAA compliance.
• Champions diversity, equity, and inclusion in all we do.
• Contributes with compassion, professionalism, and a shared sense of purpose.

Ashley, Inc. is an Equal Employment Opportunity / Affirmative Action (EEO/AA) / Veterans / Disabled Employer