Title: Verification of Benefits Specialist
2 Openings
Location:Plano, TX,
Duration: 6 Months( with possibility of extension)
Description:
"Exempt/Non Exempt: Non ExemptYears Experience: 1 year of Benefit experience, Sales force & Adobe experience is plus, Proficient user of Microsoft Suite, Share Point, Outlook.Key Skills: Data entry, basic knowledge of Insurance rules, knowledgeable of Medical rules is preferred, work well with team, computer knowledge, strong written and oral communication skills.. (Claims & billing not apply)Education: HS required, BS degree preferred, or closely related discipline or relevant combination of education & experience / Master degree will be consideredDuties:Contacts insurance companies to verify insurance benefits; initiates pre-authorization requests for new and ongoing services with insurance companies and performs follow up activities for an outcome; files Appeals for denied coverage to insurance companies as needed; maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company; coordinates and communicates with other departments as needed to obtain necessary information to complete Benefit Verification, authorization, appeals and outcomes for services of care; provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable; applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes; performsother related duties as assigned."Patient therapy access, gain access to products to gain access, back ground in benefits, co-pay/ deductibles, case management, verify of benefits, calling doctors for CPT codes, reviewing insurance info, following up with insurance companies.
Job Types: Full-time, Contract
Pay: $18.00 - $19.50 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- salesforce: 1 year (Required)
- Adobe: 1 year (Required)
Ability to Relocate:
- Plano, TX 75023: Relocate before starting work (Required)
Work Location: In person