Verification of Benefits Specialist

Job Title: Verification of Benefits Specialist
Location: Lake Mary FL 32746
Duration: 6 Months; highly likely to be extended or converted

100% onsite. Days/Hours: Mon - Friday 8:00am to 5:00pm.

Job Duties:

• 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; strong verbal and written communication skills; Education: min. HS diploma or GED equivalent .

Required Qualifications

• High school diploma or GED required
• 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.
• Must have prior authorization/verification 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 deadline.