Manual Verification Specialist - Remote EST/CST
About The Position
As a Manual Verification Specialist at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve, a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. In this role, you will support Coordination of Benefits activities for multiple government-funded health plan accounts. You will research, verify, and document health insurance coverage information using carrier websites, online portals, automated phone systems, and direct communication with insurance representatives.
Requirements
- Two years experience with insurance verification, eligibility, benefits, or Coordination of Benefits.
- Strong attention to detail with the ability to perform accurate and thorough data entry.
- Proficiency with computers, internet research, and navigating multiple websites, portals, and applications.
- Ability to quickly adapt to changing priorities, processes, and assignments.
- Ability to work independently, manage priorities, and meet performance expectations in a remote environment.
Responsibilities
- Perform Coordination of Benefits research and insurance verification activities for assigned client accounts.
- Search insurance carrier websites and web-based portals to obtain benefit, eligibility, and coverage information.
- Contact insurance company customer service representatives to verify insurance details, including coverage effective and termination dates.
- Navigate Interactive Voice Response systems to obtain insurance eligibility and coverage information.
- Accurately enter, update, and maintain insurance data within designated systems.
- Review information carefully to identify discrepancies and ensure completeness and accuracy.
- Protect confidential member information and follow applicable HIPAA privacy and security requirements.
- Manage assigned workloads independently while meeting established productivity, quality, and timeliness expectations.
- Adjust quickly to changing priorities, processes, and assignments.
- Collaborate with team members and leadership to resolve questions or issues.
- Perform other duties as assigned.
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
