Verification Benefits Specialist
Location
Mon | India
Job description
For further inquiries regarding the following opportunity please contact one of our Talent Specialists
Meghna (224)
Divya (224)
Title: Verification & Benefits Specialist
Location: Orlando FL
Duration: 6 Months
Description:
- Takes a high volume of inbound or places outbound calls to provide information and services to customers.
- Utilizes a database to retrieve customer or company information.
- Must be able to learn and follow detailed instructions use a variety of resources and possess good organizational skills to provide accurate information.
- Follows processes and steps to ensure appropriate actions and follow through taken for customers.
- Document needs for customers in databases.
- Must demonstrate patience tact empathy and problem solving skills with consistently good voice quality.
- Can organize and handle calls with speed and accuracy. Must be able to be available to customers for a certain period of time during the day.
- Can work with complex computer applications and resource materials.
- Can use multiple operating environments (Windows DOS Mainframe).
- Must have proven skills in the following PC software products Lotus Notes Excel MS Word
Years Experience:
- Min. 1 yr. Knowledge of VA Workers Comp PA Appeals is a must.
Skills:
- Understanding of Medicare rules and regulations
- Understanding of managed care as it relates to benefits and authorizations
- Advanced MS Office experience
- Strong verbal and written communication skills
Education:
- Min. HS diploma or GED equivalent
Duties:
- Contacts insurance companies to verify insurance benefits
- Initiates preauthorization 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 copays if applicable
- Applies knowledge of company procedures contracted and noncontracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes; performs other related duties as assigned.
About us: DivIHN the IT Asset Performance Services organization provides Professional Consulting Custom Projects and Professional Resource Augmentation services to clients in the MidWest and beyond. The strategic characteristics of the organization are Standardization Specialization and Collaboration. DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race color religion (creed) gender gender expression age national origin (ancestry) disability marital status sexual orientation or military status.
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