Benefits Specialist - Insurance Eligibility & Patient Support

Reliable Respiratory; Shrewsbury (MA); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Reliable Respiratory is seeking a Benefits Specialist to manage patient insurance data and eligibility, updating records in the EHR and coordinating with payors to ensure successful claim payment. The role emphasizes exceptional service to patients, families, payors, providers, and teammates within a hybrid work model.

Candidates must be eligible to work in the United States, be 18+, and have an Associate’s degree or 2 years of related experience, with a two-days-in-office, three-days-remote

Qualifications

• Must be eligible to work in the United States
• 18 years of age or older
• Associate’s degree required or 2 years of relevant experience
• Ability to maintain a hybrid work schedule - 2 days in office, 3 days work from home

Responsibilities

• Provide exceptional service every time.
• Meet or exceed annual performance indicators as outlined by organizational leadership.
• Complete assigned tasks and worklists in a timely manner.
• Update patient demographics and ensure patient charts are up to date and accurate.
• Update patient insurance policies in Reliable Respiratory’s electronic health record system and task the associated team to update any renting sales orders, existing prior authorizations and/or CMNs (Certificate of Medical Necessity).
• Verify patients’ insurance eligibility, including contacting payors to investigate and verify the terms and benefits of patients’ insurance policies and costs.
• Work with team to maintain the process document to verify in-network and out of network insurances for billable HCPC and procedure codes.
• Handle incoming communications from customers and referrers in a timely, professional, and friendly manner.
• Comply with all policies and procedures established by the company and the company's regulatory bodies.
• Actively participate in meetings as necessary.
• Perform other duties and special projects as assigned and directed

Skills

Problem solving

Communication

Customer service

Attention to detail

Microsoft Office

Independent worker

Team collaboration

Education

Associate’s degree

Tools

Microsoft Office Suite

Job description

Reliable Respiratory is seeking a Benefits Specialist to manage patient insurance data and eligibility, updating records in the EHR and coordinating with payors to ensure successful claim payment. The role emphasizes exceptional service to patients, families, payors, providers, and teammates within a hybrid work model.

Candidates must be eligible to work in the United States, be 18+, and have an Associate’s degree or 2 years of related experience, with a two-days-in-office, three-days-remote