Benefit Verification Specialist

Insight Global; Orlando (FL); On-site; USD 48,000 - 56,000; Full time

Job summary

Insight Global is seeking a Benefit Investigation Specialist (Patient Access Specialist) in Orlando, FL for a 5-month assignment. Onsite five days a week with potential remote work after 90 days.

The role entails processing applications, introducing assistance programs, conducting benefit investigations, and navigating complex reimbursement issues while entering patient data and communicating with insurers.

Qualifications

• 2+ years of medical benefit investigation experience (buy and bill).
• Experience working with and explaining insurance coverage to patients.
• Experience working with major payors (UHC, BCBS, Medicare/caid, etna) and making outbound calls.

Responsibilities

• Answers inbound calls and makes outbound calls to introduce services.
• Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
• Records the call details in patient data system.
• Contacts insurers for verification of benefits.
• Handles difficult patient situations when they arise.
• Conducts follow-up with pharmacies.
• Perform other related duties as assigned by management.

Skills

Benefit investigation

Insurance coverage

Outbound calls

Education

HS Diploma or GED

Tools

Microsoft Office

Job description

Position: Benefit Investigation Specialist (Patient Access Specialist)

Location: ONSITE 5x a week Orlando, Florida 32819 - after 90 days can go remote

Duration: 5 months w extensions/conversions

Start Date: Oct 5

Hours: M-F 8-5, 9-6, 10-7, 11-8 pm

Must Haves:

• HS Diploma or GED
• Computer Skills: Microsoft Office
• 2+ years of medical benefit investigation experience- buy and bill experience
• Experience working with and explaining insurance coverage
• Experience working w all the major payors -UHC, BCBS, Medicare/caid, etna, etc – experience making outbound calls

Plus:

• Call Center Experience
• Pharmacy Experience

Day to Day

The Patient Access Specialist is responsible for processing applications, introducing the assistance program, conducting benefit investigation for patients, and navigating complex reimbursement issues including initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients’ benefits, and identifying patient access barriers and seeking resources to overcome barriers; leading and participating in pilots, new initiatives, special projects, and cross functional teams.

• Answers inbound calls and makes outbound calls to introduce services.
• Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
• Records the call details in patient data system.
• Contacts insurers for verification of benefits.
• Handles difficult patient situations when they arise.
• Conducts follow-up with pharmacies.
• Perform other related duties as assigned by management.