Experis · 23 hours ago
Verification of Benefits Specialist
Lake Mary, FL
Contract
Onsite
Entry Level
$19/hr - $21/hr
1+ years expExperis is seeking a Verification of Benefits Specialist to join one of their Fortune 500 clients. The role involves verifying insurance benefits, initiating pre-authorization requests, and maintaining customer records related to benefit coverage and communication with insurance companies.
ConsultingRecruitingStaffing Agency
No H1B
Responsibilities
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; performs other related duties as assigned
Qualification
Required
Min. 1 - 2 yrs 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
Contacts insurance companies to verify insurance benefits
Initiates pre-authorization requests for new and ongoing services with insurance companies
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
Collecting co-pays, if applicable
Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly
Responds to incoming correspondence and documentation as well as updating customer records according to outcomes
Performs other related duties as assigned
Eligible to work with any employers without sponsorship
Company
Experis
Experis offers a project-based workforce that accelerates organizations' growth, placing specialized experts in mission-critical positions.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Michiel Van Selm
IT Services Leader Europe
Recent News
2023-12-07
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