Verification of Benefits Specialist

Plano, Texas

Employer: Experis
Industry: 
Salary: $20 per hour
Job type: Part-Time
Experis IT ManpowerGroup has partnered with a leading Medical device Co in the Plano TX area for an Insurance Verification Specialist role to assist their team. This is an Onsite role.

Industry: Medical device Co
Title: Insurance Verification Specialist
Location: ONSITE - Plano TX
Duration: 12+ months
Work hours: 8 AM - 5 PM
Pay: $20 per hour.

Job Description

What You'll Do
  • Contact insurance companies to verify insurance benefits
  • Initiates pre-authorization 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 the insurance company
  • Coordinates and communicates with other departments as needed to obtain the 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 the status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable
  • Applies knowledge of company procedures, and 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.
You will need to have:
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
  • Years' Experience: min. 1 yr.
Created: 2024-10-04
Reference: 331389
Country: United States
State: Texas
City: Plano
ZIP: 75093

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