DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations. Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.
Visit us at https://divihn.com/find-a-job/ to learn more and view our open positions.
Please apply or call one of us to learn moreFor further inquiries regarding the following opportunity, please contact one of our Talent SpecialistsMeghna | 224 369 4230 Title: Verification of Benefits SpecialistLocation: Plano, TXDuration: 6 months with possibility of extensionStart Time (AM/PM): 8:00 amEnd Time (AM/PM): 5:00 pmDescriptionExempt/Non Exempt: Non Exempt
Years Experience: min. 1 yr.
Duties: Contacts 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 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, Patient therapy access, gain access to products to gain access, back ground in benefits, co-pay/ deductibles, case management, verify of benefits, calling doctors for CPT codes, reviewing insurance info, following up with insurance companies..
Experience: 1 year of Benefit experience, Salesforce & Adobe experience is plus, Proficient user of Microsoft Suite, SharePoint, Outlook
Key Skills: data entry, basic knowledge of Insurance rules, knowledge of Medical rules and regulations is preferred, working well with the team, computer knowledge, strong written and oral communication skills. (Claims & billing not apply) and understanding of managed care as it relates to benefits and authorizations; advanced MS Office experience; strong verbal and written communication skills;
Education: Min HS required, BS degree preferred, or closely related discipline or relevant combination of education & experience / Master degree will be considered
Interview Process: 1 round/ 3 Panel interviews/ Teams – virtual
About UsDivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond. The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.DivIHN is an equal opportunity employer. DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.