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Global Technical Talent, an Inc. 5000 Company
Plano, TX | Contractor
$85k-102k (estimate)
3 Weeks Ago
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Verification of Benefits Specialist
$85k-102k (estimate)
Contractor
3 Weeks Ago
Global Technical Talent, an Inc. 5000 Company is Hiring a Verification of Benefits Specialist Near Plano, TX
Verification Of Benefits Specialist
24-07050
- Contract Duration 6 Months
- Verification of Benefits Specialist 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 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.
- HS diploma required, AA a plus
- Minimum of 2 plus years experience in a utilization (medical approval) environment or similar work experience
- Knowledge of private insurance, Worker's Compensation, and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review.
- Experience in medical device or DME Billing is a plus
- Proficient with Microsoft Office (Word & Excel specifically)
- Medical billing software experience a plus
- Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding)
- Ability to accurately meet required time frames/deadlines
- Ability to work as a team player and share workloads with other team members
- Excellent verbal and written communication skills
- Ability to train/present concepts to others
- Has worked in a physician's office or physician's background
- Strong communication skills
- Strong organizational skills
- Understanding co-insurance and benefit understanding
- 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;
- Years Experience: Minimum 1 year.
- Minimum HS diploma or GED equivalent
- Exempt/Non Exempt: Non Exempt
- Medical, Vision, and Dental Insurance Plans
- 401k Retirement Fund
- Our client is a globally diversified healthcare company with a central purpose of helping people live their healthiest possible lives. They offer a broad portfolio of market-leading products that align with favorable long-term healthcare trends in both developed and developing markets. Working with this company, you'll tackle a wide array of problems including some of the world's greatest healthcare challenges while experiencing myriad cultures, geographies, and technologies. They are creating the future of healthcare through life-changing technologies and products that make you healthier and stronger, quickly identify when you have a medical need, and treat conditions to help you get back to doing what you love. It serves people in more than 160 countries with leading medical devices, diagnostics, nutrition products, and branded generic medicines.
- If you are looking for a great company to work for, look no further because our client has received an average of a four-star rating from its thousands of employees that have written positive reviews on Glassdoor and Indeed.
24-07050
Job Summary
JOB TYPE
Contractor
SALARY
$85k-102k (estimate)
POST DATE
06/08/2024
EXPIRATION DATE
07/06/2024
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