Funding Verification Specialist - Remote

Lingraphica•Princeton, NJ

3d•Remote

About The Position

The Funding Verification Specialist is responsible for assessing and determining payment options, while also evaluating business viability, so that appropriate candidates may trial and procure a Lingraphica device. Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.

Requirements

Knowledge of insurance and funding sources for DME
Strong data entry and organizational skills with high attention to detail
Effective verbal and written communication skills with a professional, customer-focused approach
Ability to manage multiple priorities and maintain consistent performance in a fast-paced, routine-driven environment
Strong critical thinking and problem-solving skills, with the ability to assess risk and make informed decisions
Methodical and detail-oriented approach to gathering information and resolving issues
Sense of urgency with a proactive, solutions-oriented mindset and willingness to go above and beyond
Adaptability and willingness to take on new challenges with curiosity and openness to giving and receiving feedback
Compassion for individuals with disabilities and comfort communicating with clients with speech impairments
High School Diploma or GED, required
3 years healthcare or insurance related experience, required

Nice To Haves

Associate's degree or equivalent combination of education and experience, preferred
3 years customer service and/or administrative experience, preferred
Experience with Microsoft Office, TrueSight, Inovalon, or HubSpot, preferred

Responsibilities

Acquires insurance benefit coverage via phone or online portal
Interprets benefit coverage information to determine anticipated costs for clients
Uses discernment and judgment to verify the quality of the information provided by insurance companies
Assess business viability of each case by evaluating expected reimbursement, payer requirements, and overall likelihood of successful conversion prior to trial
Determines device trial funding options based on the patient’s insurance coverage
Recognize and identify potential coordination of benefits (COB) issues and proactively engage with the patient and/or care partner to gather information and resolve discrepancies.
Reviews benefits for accuracy prior to sale
Clearly communicates funding options in our CRM and to other Lingraphica staff
Maintains accurate and complete documentation of all inquiries
Proactively communicates with team members regarding identified potential issues and concerns
Maintains patient records according to HIPAA and Medicare guidelines
Tracks and trends issues to aid the team in resolution and prevention of repeat problems
Completes all administrative functions, such as data entry, associated with sales activities in a timely manner and in accordance with established processes
Identifies and escalates priority issues and proactively follows up on tasks
Performs other duties and special projects as assigned

Benefits

Paid Time Off (sick, personal, and vacation)
Paid Company Holidays
401(k) Retirement Plan and Contribution
Medical/Dental/Vision benefits with FSA, HSA, & Dependent care options
Employer Paid Life Insurance
Voluntary benefits such as Short and Long Term Disability, Critical Illness, Hospital Indemnity and AD & D insurance
Stipends for health and wellness, home office setup and professional development
Paid Family Leave
Annual bonus program
Annual merit increases
Year-Round Flex Friday’s
Discounts on travel, entertainment, home/pet/car insurance