What are the responsibilities and job description for the Benefits Verification Specialist position at CNC Management Solutions LLC?
About Crane Center for Transgender Surgery
The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado, and Austin, Texas. We have eight highly specialized surgeons and a multidisciplinary clinical team which allows us to offer all aspects of gender-affirming surgery.
DESCRIPTION
The Crane Center seeks a diligent and detail-oriented Benefits Verification Specialist to join our team. As a Benefits Verification Specialist, you will verify medical benefits for patients and ensure accurate and timely insurance claim processing. This role is essential in ensuring our patients receive the necessary medical treatments without inconvenience.
You will be crucial in verifying patients' insurance coverage and benefits. You will collaborate with insurance companies, healthcare providers, and patients to provide accurate information regarding insurance policies, co-pays, deductibles, and coverage limits. You will also be responsible for coordinating with healthcare providers to ensure that the necessary documentation is obtained.
The ideal candidate for this position is highly organized, has exceptional attention to detail, and possesses strong communication and problem-solving skills. You should have a thorough understanding of medical insurance policies and guidelines.
JOB RESPONSIBILITIES
Verify patients' insurance coverage and benefits for medical treatments and services.
Communicate with insurance companies, healthcare providers, and patients regarding insurance policies, co-pays, deductibles, and coverage limits.
Obtain and coordinate the necessary documentation required for insurance claims.
Update patient information and insurance details in the electronic medical records system.
Provide exceptional customer service to patients by addressing insurance-related inquiries and concerns.
Other duties as applicable
REQUIRED EXPERIENCE, EDUCATION, ABILITIES AND SKILLS
High school diploma or equivalent.
Three years’ proven experience in medical benefit verification or medical billing.
Strong understanding of medical insurance terminology, policies, and procedures.
Proficient in using electronic medical records systems and insurance verification software.
Excellent attention to detail and strong organizational skills.
Exceptional communication and interpersonal skills.
Ability to work efficiently in a fast-paced environment and meet deadlines.
Knowledge of medical coding systems (such as CPT, ICD-10) is preferred.
BENEFITS
Compensation package
Comprehensive health, dental, and vision insurance
401(k) retirement savings plan with company matching
Opportunities for career growth and professional development
Paid time off and holidays.
Hybrid position
Job Type: Full-time
Expected hours: 40 per week
Schedule:
Monday to Friday
Work setting:
Clinic
Hybrid work
Medical office
Private practice
Experience:
Prior Authorizations: 3 years (Required)
Ability to Commute:
West Lake Hills, TX 78746 (Required)
Work Location: Hybrid after successful completion of a 90-day introductory period in West Lake Hills, TX 78746
