Verification of Benefits Specialist

Experis Technology Group; Florida; Sur place; USD 25 000 - 29 000; Plein temps

Résumé du poste

Experis Technology Group is seeking a Verification of Benefits Specialist in Lake Mary, FL onsite for a 6-month assignment. Mon–Fri, 8:00am–5:00pm, $18–$21/hr on W2. Responsibilities include contacting insurers, initiating authorizations, handling denials and appeals, and maintaining accurate patient records.

The role requires understanding Medicare rules, managed care, and strong MS Office skills, with excellent communication. Eligible candidates must be able to work without sponsorship.

Qualifications

• Min. HS diploma or GED equivalent.
• Must have prior authorization/verification experience.
• Preferred two or more years’ experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting.
• Understanding of Medicare rules and regulations; understanding of managed care as it relates to benefits and authorizations; advanced MS Office experience
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines.

Responsabilités

• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral, and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
• Files Appeals for denied coverage to insurance companies as needed.
• Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company.
• Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care.
• Provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
• Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes.
• Performs other related duties as assigned.

Connaissances

Benefits verification

Prior authorization

Medicare rules

Managed care

MS Office

Communication

Formation

HS diploma or GED

Description du poste

Title:Verification of Benefits Specialist
Location: Lake Mary, FL (100% Onsite)
Duration:6 Months (Possibility of Extension or Conversion)
Shift Time:Mon – Fri; 8:00am to 5:00pm
Pay Range: $18/hr to $21/hr (On W2)

Top Skills:

• Min. HS diploma or GED equivalent
• Must have prior authorization/verification experience.
• Preferred two or more years’ experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting.

Job Responsibilities:

• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral, and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
• Files Appeals for denied coverage to insurance companies as needed.
• Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company.
• Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care.
• Provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
• Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes.
• Performs other related duties as assigned.
• Skills: Understanding of Medicare rules and regulations; understanding of managed care as it relates to benefits and authorizations; advanced MS Office experience
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines

We are looking for the candidate who are eligible to work with any employers without sponsorship.