Verification Of Benefits Specialist

Verification of Benefits Specialist#26-08902 Lake Mary, FL All On-site Job Description Verification of Benefits Specialist-Max Bill Rate

• Lake Mary Florida
• 100% onsite.

Days/Hours:

Mon

• Friday 8:00am to 5:00pm 6 months from workers start date; highly likely to be extended or converted

THIS IS NOT A CUSTOMER SERVICE ROLE. THIS IS A VERIFICATION OF BENEFITS ROLE SO FOCUS ON THIS ASPECT OF THE ROLE

• Must have prior authorization/verification experience. Selected Candidate will start ASAP after screenings have cleared. Please see complete Job Description for full Position Details Please review candidates' information to assure they have stated skills before submittal

• Job Duties:

• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral, and Letter of Agreement 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.

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 Must have prior authorization/verification experience.

• 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 ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines

EEO:

"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of

• Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

"