The Fountain Group is Hiring a Verification of Benefits Specialist Near Plano, TX
The Fountain Group. We are a national staffing firm and are currently seeking a Benefits Specialist for a prominent client of ours. This position is in Plano, TX 75024 . Details for the position are as follows: Job Description:
$19-$20/hour based on previous experience.
Full-time, on-site 100%, Monday - Friday normal business hours.
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 the 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.
Qualifications:
1 years of experience working within benefits and insurance.
Strong data entry, written and oral communication, and computer knowledge, must be proficient with Microsoft Suite, SharePoint, and Outlook.
HS Diploma required; bachelor's preferred.
Previous experience working with Salesforce or Adobe is a plus.