Funding Verification Specialist - Remote

Lingraphica; Princeton (NJ); On-site; USD 50,000 - 55,000; Full time

Benefits offered by this job

Paid Time Off

401(k) Retirement Plan

Medical/Dental/Vision benefits

Employer Paid Life Insurance

Flexible work options

Job summary

A healthcare technology firm in Princeton is seeking a Funding Verification Specialist to assess payment options and ensure clients can procure communication devices. This role requires managing insurance coverage, verifying information, and communicating effectively with clients. Ideal candidates will possess strong organizational skills and at least 3 years of experience in healthcare or insurance. The starting salary is competitive, ranging from $50,000 to $55,000, with comprehensive benefits including paid time off and health insurance.

Qualifications

• Proven experience in managing insurance claims.
• Strong organizational skills with attention to detail.
• Effective in communicating with clients, especially those with disabilities.

Responsibilities

• Assess payment options for clients seeking device trials.
• Verify insurance benefit coverage accurately.
• Maintain compliance with HIPAA and Medicare guidelines.

Skills

Knowledge of insurance and funding sources for DME

Strong data entry and organizational skills

Effective verbal and written communication skills

Critical thinking and problem-solving skills

Detail-oriented approach

Adaptability and proactive mindset

Education

High School Diploma or GED

Associate's degree or equivalent

3 years healthcare or insurance related experience

3 years customer service or administrative experience

Tools

Microsoft Office

TrueSight

Inovalon

HubSpot

Job description

Company Description

Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.

Job Description

Purpose

The Funding Verification Specialist is responsible for assessing and determining payment options, while also evaluating business viability, so that appropriate candidates may trial and procure a Lingraphica device.

Essential Duties & Responsibilities

• Acquires insurance benefit coverage via phone or online portal
• Interprets benefit coverage information to determine anticipated costs for clients
• Uses discernment and judgment to verify the quality of the information provided by insurance companies
• Assesses business viability of each case by evaluating expected reimbursement, payer requirements, and overall likelihood of successful conversion prior to trial
• Determines device trial funding options based on the patient’s insurance coverage
• Recognizes and identifies potential coordination of benefits (COB) issues and proactively engages with the patient and/or care partner to gather information and resolve discrepancies.
• Reviews benefits for accuracy prior to sale
• Communicates funding options in our CRM and to other Lingraphica staff
• Maintains accurate and complete documentation of all inquiries
• Proactively communicates with team members regarding identified potential issues and concerns
• Maintains patient records according to HIPAA and Medicare guidelines
• Tracks and trends issues to aid the team in resolution and prevention of repeat problems
• Completes all administrative functions, such as data entry, associated with sales activities in a timely manner and in accordance with established processes
• Identifies and escalates priority issues and proactively follows up on tasks
• Performs other duties and special projects as assigned

Qualifications

Skills and Competencies

• Knowledge of insurance and funding sources for DME
• Strong data entry and organizational skills with high attention to detail
• Effective verbal and written communication skills with a professional, customer-focused approach
• Ability to manage multiple priorities and maintain consistent performance in a fast-paced, routine-driven environment
• Strong critical thinking and problem-solving skills, with the ability to assess risk and make informed decisions
• Methodical and detail-oriented approach to gathering information and resolving issues
• Sense of urgency with a proactive, solutions-oriented mindset and willingness to go above and beyond
• Adaptability and willingness to take on new challenges with curiosity and openness to giving and receiving feedback
• Compassion for individuals with disabilities and comfort communicating with clients with speech impairments

Education And Experience

• High School Diploma or GED, required
• Associate's degree or equivalent combination of education and experience, preferred
• 3 years healthcare or insurance related experience, required
• 3 years customer service and/or administrative experience, preferred
• Experience with Microsoft Office, TrueSight, Inovalon, or HubSpot, preferred

Lingraphica and Pay Transparency

At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $50,000 to $55,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth.

Benefits

• Paid Time Off (sick, personal, and vacation)
• Paid Company Holidays
• 401(k) Retirement Plan and Contribution
• Medical/Dental/Vision benefits with FSA, HSA, & Dependent care options
• Employer Paid Life Insurance
• Voluntary benefits such as Short and Long Term Disability, Critical Illness, Hospital Indemnity and AD & D insurance
• Stipends for health and wellness, home office setup and professional development
• Paid Family Leave
• Annual bonus program
• Annual merit increases
• Year-Round Flex Friday’s
• Discounts on travel, entertainment, home/pet/car insurance

To learn more about Lingraphica, visit: www.lingraphica.com! To learn more about our benefits offerings, click here!

This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.