Benefits Verification Specialist
About The Position
A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the procedure was done to fill in the rest of the information. They will be verifying benefits for each patient case in queue, and will identify if there are any additional actions needed including copay, prior authorization, appeals, appointments, etc.
Requirements
- Experience in a role involving communication with healthcare professionals and insurance plans.
- Ability to identify missing information and take steps to obtain it.
- Skills in verifying benefits and identifying necessary actions like copay, prior authorization, appeals, and appointments.
Responsibilities
- Taking calls and outreach from health care professionals at doctor's offices or hospitals.
- Communicating directly with health insurance plans regarding benefits coverage.
- Calling facilities where procedures were done to fill in missing information.
- Verifying benefits for each patient case in queue.
- Identifying any additional actions needed including copay, prior authorization, appeals, appointments, etc.
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
