Benefits Specialist

Contract: Orlando, Florida, US

Salary: $22.00 Per Hour

Job Code: 355221

End Date: 2024-11-22

Days Left: 6 hours left

Job Description: 

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.
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.
  • 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, while maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
  • Understand the process for verification of benefits or collections as it relates to the policies and procedures for effective placement of medical services.
  • Complete Understanding of Medicare Rules and Regulations
  • Understanding of Managed Care as it relates to benefits and authorizations
  • Advanced Office Suite experience, with an emphasis on Excel desired
Job Requirement
  • Insurance Verification
  • Medical Billing
  • Appeals/Denials
  • Medicare/Medicaid
  • Excel
  • Collections
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Vishnu Nair
  • vishnu.nair@collabera.com
Apply Now
Apply Now
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