What are the responsibilities and job description for the Verification Specialist position at NationsBenefits, LLC?
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.
Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.
Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.
We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Role: The Verification Specialist will make outbound calls to insurance companies, on behalf of multiple Providers to verify patient specific benefits for hearing aids and other related services. The will also ask appropriate questions regarding patient’s benefits, complete forms to document and forward patient’s benefit coverage.
Responsibilities:
- Review all patient demographic and insurance information to ensure accuracy for benefit verifications
- Verify eligibility, billing requirements and patient specific benefits for audiology billing
- Obtain cost share information and plan specific requirements including but not limited to prior authorizations or referrals
- Follow up on accounts that require further action
- Upload completed verification form onto a web portal
- Report any trends/delays in verifications to manager
- Perform related duties and special projects as assigned
- Maintain strict confidentiality; adheres to all HIPAA guidelines/regulations
Qualifications & Skills:
- Ability to work in a fast-paced environment
- Knowledge of insurance
- Strong written & verbal communication skills
- Ability to work independently on assigned tasks, as well as to accept direction on given assignments
- Enthusiastic, team player
Preferred Experience:
- Prior Insurance Verification experience in a medical office
- Customer Service
NationsBenefits is an equal opportunity employer.
