Subject Matter Expert - Verification of Benefits
Subject Matter Expert - Verification of Benefits
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
JOB DESCRIPTION:
Responsible for providing support to a team of VOB Representatives working to ensure timely and accurate resolution of accounts by verifying eligibility and coverage reviewing documents initiating and following up authorizations updating and correcting patients insurance information.
Co-manages volume and ensures that turnaround time is achieved day in and day out and is also responsible for the Teams performance and development.
Key Areas of Accountability:
1. Co-training and preparing VOB representatives to handle verification of benefits tasksand solving authorization and date-of-service issues by utilizing the available tools and following the eligibility methods of different insurances.
2. Preparing reports and analyzing data to assist management as they determine thecampaigns goals. Including daily task assignments task rotation and movement SLAmonitoring and rush requests completion.
3. Assist in identifying operational issues including escalation of critical items to theirimmediate Supervisors/Managers and onshore counterparts; Determining trends andsuggesting possible improvements in process and system/tools.
4. Monitoring and evaluating agent performance specifically on efficiency and quality ofoutput providing learning or coaching opportunities.
5. Ability to adapt to and work with the different tools and systems used to carry out dutiesand responsibilities; Adapts to and demonstrates the ability to deal with frequentchanges in the work environment.
6. Promotes companies culture by ensuring agents understand and comply with theprograms objectives mission statements performance standards and policies; Ensure team compliance to regulations observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
7. Working with other SME and management team members to support agents and ensure clients satisfaction.
8. Other Subject matter experts duties as assigned.
Communication Skills:
Excellent interpersonal skills
Detailed & Team Oriented
Professional communication & Writing Organization/Time Management Skills
Competencies required:
Fostering Teamwork
Commitment to Job Deliverables
Decision making
Attention to Details
Attention to Communication
Customer Orientation
Analytical Thinking
Leadership
Trustworthiness and Ethics
Problem Solving
Technical Expertise
Managing Change
Managing Performance
Adaptability
Initiative
Interpersonal Skills
Thoroughness
Self Confidence
Stress Management
Personal Credibility
Flexibility
Minimum Qualification:
College diploma or equivalent but more education especially in management orhealthcare is preferred.
Minimum of 2 years of experience in healthcare accounts (preferably with strongbackground for Verification of Benefits and Authorization process)
Customer service or supervisory experience may be required.
Proficiency with technology especially computers software applications and phonesystems.
Exceptional verbal and written communication skills.
Strong understanding of company products policies and services.
Ability to coach train and motivate employees and evaluate their performance.
Excellent problem solving leadership and customer service skills.
Analytical efficient and thorough.
Ability to remain calm and courteous under pressure and navigate tense situationsespecially during busy hours.
The base pay for this position is
N/AIn specific locations the pay range may vary from the range posted.
JOB FAMILY:
Customer Service
DIVISION:
HF Heart Failure
LOCATION:
Philippines > Taguig City : Five/Neo Building
ADDITIONAL LOCATIONS:
WORK SHIFT:
Standard
TRAVEL:
Not specified
MEDICAL SURVEILLANCE:
Not Applicable
SIGNIFICANT WORK ACTIVITIES:
Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)
Employment Type
Full-Time
