Verification of Benefits Specialist

Title: Verification of Benefits Specialist
Location: 1101 Greenwood Boulevard, Lake Mary, FL 32746
Duration: 6 Months
Work Arrangement: 100% Onsite
Pay Range: $20 - $23 per hour (W2)

We are seeking a “Verification of Benefits Specialist” to join one of our leading healthcare clients.

The Opportunity
As the Verification of Benefits Specialist, you’ll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed.

Key Responsibilities

• Contact insurance companies to verify insurance benefits.
• Initiate Pre-authorization, PCP referral, and Letter of Agreement requests for new and ongoing services.
• Perform follow-up activities with insurance companies to obtain outcomes.
• File appeals for denied coverage as needed.
• Maintain customer records related to benefit coverage, authorizations, denials, appeals, and outcomes.
• Coordinate with internal departments to obtain information necessary to complete benefit verification and authorization activities.
• Provide customers with updates on authorization status, patient financial responsibility estimates, and co-pay information, when applicable.
• Apply company procedures, contracted and non-contracted guidelines, and update customer records according to outcomes.
• Perform other related duties as assigned.

• High school diploma or GED required.
• Preferred two or more years’ experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting.
• Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines.

• Knowledge of Medical Insurance.
• Understanding of Prior Authorizations and Benefits Verification.
• Knowledge of Managed Care and Medicare.
• Knowledge of Contracting and Fee Schedules.
• Strong Computer/Software Skills.
• Advanced MS Office experience, with an emphasis on MS Excel desired.

We are looking for the candidate who are eligible to work with any employers without sponsorship.

If you’re interested, please click “Apply” button.