Benefit Verification Specialist

Direct Staffing Inc; Monroeville (Allegheny County); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading staffing firm is seeking a Reimbursement Counselor to verify patient benefits on behalf of physician offices. This role requires proficiency in data entry, strong interpersonal skills, and effective communication abilities. The ideal candidate will have a high school diploma or GED, along with experience in medical office administration or insurance customer service. Join us to be part of a dynamic team and contribute to optimizing patient access to benefits.

Qualifications

• Proficient in Windows-based software for data entry and typing.
• Two+ years of relevant experience or relevant college degree.
• Experience in medical administration or insurance customer service is a plus.

Responsibilities

• Collect and review patient insurance information for verification.
• Verify patient benefits and document specifics for payer plans.
• Initiate prior authorization processes or claims appeals as required.

Skills

Proficient Windows based experience including fundamentals of data entry/typing

Strong interpersonal skills and professionalism

Effective written and verbal communication

Independent problem solver

Strong attention to detail

Robust analytical skills

Education

High school diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

Job Description

POSITION TITLE: Reimbursement Counselor (Benefits Verification Specialist – BVS)

POSITION SUMMARY

Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.

PRIMARY DUTIES AND RESPONSIBILITIES

• Collects and reviews all patient insurance information needed to complete the benefit verification process.
• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.
• Verification process could include electronic validation of pharmacy coverage and medical eligibility.
• Identifies any restrictions and details on how to expedite patient access.
• Could include documenting and initiating prior authorization process, claims appeals, etc.
• Completes quality review of work as part of finalizing product.
• Reports any reimbursement trends/delays to supervisor.
• Performs related duties and special projects as assigned.
• Ability to work in a fast‑paced office environment.
• Work requires focus, flexibility, and the ability to adapt to changing work situations.
• This position requires that the Associate be seated most of the day.

Required

• Proficient Windows based experience including fundamentals of data entry/typing
• Working knowledge of Outlook, Word, and Excel
• Strong interpersonal skills and professionalism
• Independent problem solver, good decision maker, and robust analytical skills
• Strong attention to detail
• Effective written and verbal communication

Preferred

• High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree.
• Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus
• Broader experience/training may be considered in fields such as case management, social services and pharmacy technician.
• Familiarity with verification of insurance benefits a plus.
• Fundamental understanding of key payers including Medicaid, Medicare and private payers

Additional Information

Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world.

We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.