Benefits Specialist

United Medical Inc.•Virginia Beach, VA

7d•$19 - $25•Onsite

About The Position

The Benefits Specialist is responsible for the administration and processing of durable medical equipment supplies for each patient’s orders. The administration of each order includes responding to benefit inquiries, processing referral documentation, requesting additional documents, and providing patients with all out of pocket costs related to their order. This role requires collaboration with both internal and external clients, and the candidate must have strong interpersonal skills.

Requirements

Minimum of 2 years of experience in DME/HME industry, with a basic understanding of intake documentation, billing, compliance, and medical terminology.
Ability to effectively communicate, orally and in writing, with the public and with employees to exchange and clarify information
Ability to identify and resolve problems in a timely manner while analyzing the information and data
Strong understanding of insurance guidelines and reimbursement practices
Knowledge of healthcare billing codes (CPT, ICD-10, HCPCS)
Proficient computer skills and ability to navigate Microsoft office, internal computer systems, insurance portals, and process payments
Excellent organizational and time management skills with the ability to prioritize tasks as needed
Possess a high level of attention to detail when typing and entering information into systems and databases
Role requires use of frequent basic math skills
Developing and maintaining good relationships with co-workers and managers.
Maintaining open lines of communication with others
Ability to multitask and meet deadlines
Flexibility to adapt in a fast-paced environment that is constantly evolving

Responsibilities

Ensure all patient orders are processed timely and accurately to enhance patient satisfaction and reduce order cycle time
Provide both patients and physicians or therapists with benefit inquiry responses
Educates patients as to the financial responsibility associated with their DME
Review and analyze all incoming medical documentation for ordering/billing accuracy
Scheduling patients for upcoming appointments
Handle any questions regarding insurance policies, coverage determinations, and allowable for all the insurance we work with to provide excellent customer service
Stay updated on healthcare regulations and compliance requirements
Communicate effectively with internal and external stakeholders
Participate in all weekly departmental meetings and training sessions
Complies with all regulatory requirements such as OSHA, HIPPA, Compliance and other requirements that may be mandated
Performs other duties as specified by the leadership team. This position can be fluid and may need adjustments and deletion of processes to keep up with the changing environment.