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Verification of Benefits Specialist
•12 days ago
| Estimated Pay | $19 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Orlando, Florida |
Compare Pay
Estimated Pay We estimate that this job pays $18.85 per hour based on our data.
$15.32
$18.85
$29.16
About this job
Job Title: Verification of Benefits Specialist
Job Location: Orlando, FL 32810
Job Duration: 6 Months
Time Schedule: Hours: 8 to 4:30 pm or 8:30 to 5pm with two 15 min breaks and one half-hour lunch break
Responsibilities:
HS diploma or GED equivalent
Job Location: Orlando, FL 32810
Job Duration: 6 Months
Time Schedule: Hours: 8 to 4:30 pm or 8:30 to 5pm with two 15 min breaks and one half-hour lunch break
Responsibilities:
- Person will be doing Verification of Benefits in the Appeals process for prior authorization/denials/exceptions, etc. Lots of paperwork and phone calls.
- Person MUST come with 1 year of experience and knowledge in Veteran Affairs, Worker Compensation, Medicaid, Medicare Advantage, PPO and Prior Authorization Appeals are all a MUST
- Top skills to look for: ability to work in a fast paced environment, ability to be adaptable to change, attention to detail, good phone skills/communication skills
- 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.
- 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.
HS diploma or GED equivalent
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