Verification of Benefits Position Available In Palm Beach, Florida

Verification of Benefits

NRG MGMT LLC 2328

10th Avenue North, Lake Worth, FL 33461 Looking for a Verification of Benefits Specialist for addiction treatment and substance abuse clients for growing company!! • Verify private, government and third party insurance information, including eligibility, out-of-pocket costs, prescription coverage and patient portions. Verify any secondary and tertiary medical insurance benefits. Obtain, review and input insurance authorization and referrals prior to patient services, and throughout treatment to maintain continuance of authorizations. Advocate for the patient utilizing knowledge of coverage based guidelines and treatments. Provide accurate and timely estimated patient responsibility amounts to patient service staff members. Monitor and track patient authorizations, obtain updated authorizations for ongoing treatment, and communicate changes to appropriate team members. Identifies and provides accurate CPT/ICD codes where needed for reimbursement. Maintain appropriate logs and reports to professional, state and federal requirements; including but not limited to Medicaid, Medicare, case logs and drug logs. Obtains, interprets and submits clinical documentation pertinent to the specific services requiring prior authorization to support medical necessity reviews by the payer. Follows up on denied authorization requests, escalates to appointed appeal personnel, and relays the necessary denial detail to the provider to facilitate the appeal and/or peer to peer reviews. Work closely with Billing Director and colleagues to ensure smooth collection process. Maintains appropriate documentation in clinic systems and EMR. Demonstrates a professional, proactive attitude, establishes and maintains effective channels of communication within the Company as well as with clients, and office based team members Provides excellent customer service to all constituents Document, maintains proficiency in all support functions and activities to ensure office operations are met Meets and maintains HIPAA regulations in regards to Protected Health Information Regular attendance and punctuality. Contributes to team effort by accomplishing related results as needed. Ensures that all processing and reporting deadlines are consistently achieved. Perform any other functions as required by management. 5 years experience preferred.

Job Type:

Full-time Benefits :

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Professional development assistance Tuition reimbursement Vision insurance

Schedule:

8 hour shift Monday to Friday Ability to commute/relocate: Delray Beach, FL 33445: Reliably commute or planning to relocate before starting work (Required)

Work Location:

In person Basic Life Support Certification required. Minimum of 2 years in this field or related field such as medical coding, financial counseling setting or similar service profession. Strong knowledge of ICD9/10 diagnosis codes, as well as CPT codes. Must be proficient using a computer, online websites, and email. Knowledge of basic medical terminology Ability to work a flexible schedule (including overtime, and weekends, as necessary). High school graduate or equivalent Proficient computer skills, including familiarity with common programs, such as Microsoft Office Suite. Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals. Ability to be proactive and take initiative. Exhibit high level of quality through attention to detail and monitoring of work. Ability to work independently on assigned tasks, as well as to accept direction on given assignments.

SUPERVISION EXERCISED

This position has no supervisory responsibilities.

WORK ENVIROMENT & PHYSICAL REQUIREMENTS

Work is performed in an office setting. Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at a time.

Physical demands of position:

sitting, standing, walking, typing, phone communication, face to face conversation.