Benefits Verification Specialist

Direct Staffing Inc; Frisco (TX); On-site; USD 35,000 - 50,000; Full time

Job summary

A national staffing agency is seeking a Benefits Verification Specialist in Frisco, Texas. This role involves contacting insurance companies to verify patient-specific benefits and documenting coverage details. The ideal candidate should have strong data entry skills, proficiency in Microsoft Office, and the ability to communicate effectively. Minimum qualifications include a high school diploma and two years of relevant experience or equivalent education. This position is in a fast-paced office environment.

Qualifications

• Proficient in Windows-based data entry and typing.
• Strong knowledge of Microsoft Office Suite.
• Ability to communicate effectively and professionally.

Responsibilities

• Contact insurance companies to verify patient benefits.
• Document patient coverage and costs for various insurance plans.
• Complete quality review of verification documentation.

Skills

Windows based experience including fundamentals of data entry/typing

Knowledge of Outlook, Word, and Excel

Strong interpersonal skills

Independent problem solver

Strong attention to detail

Effective written and verbal communication

Education

High school diploma or GED

Two years of relevant experience or college degree

Job description

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn.

Job Description

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

All your information will be kept confidential according to EEO guidelines.