Verification of Benefits Specialist

Integrity Billing is a national leader in providing specialized Revenue Cycle Management services to substance use disorder and mental health facilities and offices.

We are seeking an experienced benefits associate to perform live verification of benefits and prepare medical records to submit to the health insurance payers.

Previous experience with interpreting health benefits is highly desirable as the benefits information is critical to our clients admitting patients into care.

At times the payers will require that a medical record be submitted in order to make a determination on the claim payment. This associate is also required to print the record, evaluate for appropriateness and seek clinical feedback from our utilization department as needed to ensure the record is submitted correctly.

The duties detailed below are an overview of the position. Please submit your resume. Our Human Resources Department will contact you to schedule an interview to discuss this integral position.

Knowledge of substance use and mental health treatment services is a plus.

• Contact insurance companies to obtain claim status information and/or health insurance benefits.
• Work in tandem with other departments for appeal denials and hold the insurance payers accountable to pay for the services that were provided to their members.
• Utilize a myriad of electronic benefits portals and systems while waiting to speak to a live representative.
• Based upon experience, be able to determine that the information the agent is providing is accurate.
• Have the ability to challenge information that you feel is inaccurate.
• Make follow-up calls to verify any inconsistencies in the original information.
• Respond to client's requests for additional information on existing claims billed or benefits information obtained from the employers.
• Prepare and submit medical records to insurance payers ensuring that all requesting documents are included.

Please note that a positive, upbeat, friendly personality is a requirement for this position. We do not tolerate gossip, rumor mongering, negativity meant to discredit or harm another person, whining, complaining, or inability to conduct one's self as a professional at all times. In return for your professionalism, we will support you, coach you, and make it our mission to assist you in becoming the best possible revenue cycle specialist you can be.

Job Types: Full-time

The hours for these positions are flexible. What is your ideal shift? - We need people to work until 5pm and some work until 7pm - you tell us. Monday- Friday with a 30 minute meal period and also two 15 minute paid breaks. You are expected to be here and ready to work at the time your shift begins.

Salary: $16.00 to $18.00 /hour ( if you would like to make more, we will give you the opportunity to prove to us that you are determined to earn more}

Job Type: Full-time

Pay: From $16.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Flexible schedule
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Work Location: In person

Salary : $16 - $18