Benefits Verification & Coverage Advocate

TEKsystems; United States; Hybride; USD 32 000 - 39 000; Plein temps

Avantages offerts par ce poste

Medical, dental & vision

401(k) Retirement Plan

Short and long-term disability

Health Spending Account (HSA)

Résumé du poste

TEKsystems in Minneapolis, MN is seeking a Benefit Verification Specialist for a contract role with hybrid work. The position focuses on verifying benefits, obtaining pre-certifications, and guiding offices on coverage for interventional urology products.

Responsibilities include advocating for customers, communicating with payers, and educating staff on authorization requirements. The role requires 3+ years in medical insurance verification and a strong understanding of Medicare, Medicaid, and

Qualifications

• 3+ years of experience with medical insurance verification.
• Knowledge of insurance benefit verification requirements, guidelines and policies.
• Experience in a health care related industry.

Responsabilités

• Act as an advocate for our customers as it relates to coverage.
• Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers.
• Obtain authorization, or pre-certifications required for patients to access coverage for Interventional Urology products.
• Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends.
• Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating appeals if required by insurance payer.
• Maintains knowledge of Medicare, Medicaid and Commercial payer requirements, guidelines, and policies.
• Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients.
• Work with customers if an exception to coverage is needed.
• Answer incoming calls from customers / patients and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner.

Connaissances

benefits management

benefits enrollment

reimbursement

insurance verification

customer service support

claims resolution

appeals

claims adjudication

Formation

HS Diploma

Description du poste

TEKsystems in Minneapolis, MN is seeking a Benefit Verification Specialist for a contract role with hybrid work. The position focuses on verifying benefits, obtaining pre-certifications, and guiding offices on coverage for interventional urology products.

Responsibilities include advocating for customers, communicating with payers, and educating staff on authorization requirements. The role requires 3+ years in medical insurance verification and a strong understanding of Medicare, Medicaid, and