Funding Verification Specialist - Remote

Lingraphica; United States; Remote; USD 50,000 - 55,000; Full time

Benefits offered by this job

Paid Time Off (sick, personal, and vacation)

401(k) Retirement Plan and Contribution

Medical/Dental/Vision benefits

Employer Paid Life Insurance

Annual bonus program

Year-Round Flex Fridays

Job summary

Lingraphica, a mission-driven organization in the United States, is seeking a Funding Verification Specialist who will be responsible for assessing payment options for speech-generating devices. This role requires a proactive and detail-oriented approach to working with insurance companies and coordinating funding strategies for clients.

Candidates should possess strong communication skills, knowledge of funding sources, and a commitment to helping individuals with communication impairments.

Qualifications

• 3 years healthcare or insurance related experience required.
• 3 years customer service and/or administrative experience preferred.
• Experience with relevant software preferred.

Responsibilities

• Assess and determine payment options for candidates.
• Communicate clearly with clients and staff regarding funding options.
• Document all inquiries accurately according to guidelines.
• Engage proactively with team members about potential issues.

Skills

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

Ability to manage multiple priorities

Strong critical thinking and problem-solving skills

Detail-oriented approach to gathering information

Compassion for individuals with disabilities

Education

High School Diploma or GED

Tools

Microsoft Office

TrueSight

Inovalon

HubSpot

Job description

Employees can work remotely.

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
• Clearly 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
• 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

Additional Information

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. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process.

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 Fridays
• Discounts on travel, entertainment, home/pet/car insurance