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Benefit Verification Specialist Jobs

Benefit Specialist - Remote
By Imagine360 At United States
2+ years' experience in client services, account management, or similar customer service related field
Manage assigned member caseload via high-touch advocacy model with a focus on elevating the member experience and promoting engagement.
Experience in healthcare and/or employee benefits
Understand product and program guidelines and working to educate CRMs and customers on the capabilities of and best practices for client.
Serve as the liaison to the support organization for client knowledge, and for appropriately managing escalations.
Imagine360 is currently seeking a Benefit Specialist to join the team!
Clinical Admin Supervisor - (Pbm Benefit Verification Authorizations) Remote
By UnitedHealth Group At , Overland Park, 66211, Ks $46,700 - $91,300 a year
Managed care experience in a care coordination role
Previous experience with PBM benefit verifications
Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.
2+ years of supervisory experience
2+ years of data input or healthcare background experience
Previous experience with PBM billing
Claim Benefit Specialist Jobs
By CVS Health At , Tampa, Fl $17.00 - $27.90 an hour

Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies ...

Load Verification Specialist - Hick
By Sabre Industries At , Hicksville, 43526, Oh
Performs Visual Weld Inspections to the requirements of AWS D1.1.
Inspects parts to blue prints/design drawings.
Cross train in other areas of Quality Control Department and fill in when need arises.
Ensure that all documentation is accurately and neatly completed including pictures of loads.
Maintain a professional demeanor at all times with personnel of Quality Department and all departments at Sabre.
Integrity- We are integrous. We build trust and respect every day and it is the foundational value we stand tall on.
Claim Benefit Specialist Ops
By CVS Health At , , Sc $17.00 - $27.90 an hour
Identify claim cost management opportunities and refer claims for follow up
Determine and understand the coverage provided under a member's health plan
Efficiently use multiple systems and screens to obtain and record claim information
Review claims information to determine the nature of a member's illness or injury
Process claims accurately to enhance customer satisfaction and retention
Process claims within quality and production standards
Claim Benefit Specialist Jobs
By CVS Health At , , Pa $17.00 - $27.90 an hour
Routes and triages complex claims to Senior Claim Benefits Specialist.
Proofs claim or referral submission to determine, review or apply appropriate guidelines, coding, member identification process, diagnosis and pre-coding requirements.
Experience in a production environment.
Reviews and adjudicates routine claims in accordance with claim processing guidelines.
Analyzes and approves routine claims that cannot be auto adjudicated.
Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues.
Credit Verification Specialist Jobs
By Altisource At , $50,000 - $65,000 a year
Knowledge and/or experience of the loan origination process would be extremely helpful
Competitive salary based on your experience and skills at $50,000 to $65,000 annually
Act as tier one support customer support; own/manage the credit and verifications help desk queue
Ability to multi-task and see each task through to the end with amazing organizational skills
Client facing experience and the confidence to work directly with Clients
Experience managing complex projects with multiple stakeholders
Benefit Program Specialist Jobs
By State of Missouri At , Poplar Bluff, 63901, Mo $40,935 a year
Manage a caseload of approximately 450-550 children;
Knowledge of the techniques of financial investigation, research, and resource identification.
Knowledge of principles and techniques interviewing, and negotiation.
Ability to interpret, explain, and apply policies, rules, regulations, procedures, and requirements, pertaining to the assigned program(s).
Division or Finance and Administrative Services (DFAS)
Monitor the child’s KIDS account and/or Dedicated KIDS accounts to ensure adequate eligibility limits for both SSI and Title IV-E;
Cost-Benefit Analysis Specialist Jobs
By FAO At , Remote
Qualified female applicants, qualified nationals of non-and under-represented Members and person with disabilities are encouraged to apply
Develop data gathering instruments or survey forms necessary to collect information required to conduct a cost-benefit analysis on the EPAHP program;
Working knowledge (Level C) of English
Knowledge Sharing and Continuous Improvement
The Cost-Benefit Analysis Specialist directly reports to the Assistant FAO Representative (Programme) and MIS Specialist
The Cost Benefit Analysis Specialist will carry out the following tasks:
Claim Benefit Specialist Jobs
By CVS Health At , , Sc $17.00 - $27.90 an hour

Analyzes and approves routine claims that cannot be auto adjudicated. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies ...

Benefit Specialist Jobs
By Choctaw Nation At , Durant, Ok $19.30 an hour
You will track of CFML hours in all applicable systems, communicating leave to human resources, managers, and associates.
Maintain complete and accurate records of leave and accommodation requests following specified legal requirements and documentation of best practices.
Provide employees with information about benefit programs and assist with open enrollment processes.
Ability to communicate verbally and in writing with strong presentation skills.
One (1) year of general work experience
Free diabetes and hypertension monitoring benefit (Livongo)
Ins Verification Specialist Jobs
By Methodist Health System At , Dallas, Tx
Always look for ways to improve the patient experience
High School Diploma, Preferably: 2-4 years of post High School Training.
Build relationships to promote a collaborative environment
Be accountable for your performance
Take initiative for your professional growth
Be engaged and eager to build a winning team
Benefit Verification Specialist Jobs
By Cardinal Health At , , Tx
Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred
Intermediate Microsoft skills with specific experience with Excel
Obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Maintain quality while providing an empathetic and supportive experience to the patients, doctors, and physician offices
Previous healthcare experience with insurance or in pharmaceutical industry, preferred
Previous prior authorization and appeals experience highly desired
Verification Specialist Jobs
By MEDSTAR HEALTH At , Leonardtown, 20650, Md
Verifies eligibility and benefits and obtains authorizations when needed for all services specific to the clinical department and location.
Demonstrate ongoing knowledge and competency of the scheduling and registration systems, including applications and other assigned system tools.
Minimum score of 80% on Customer Service, Data Entry and Medical Abbreviations tests. required and
1-2 years Experience in hospital registration required and
Experience in hospital, and or medical office setting insurance verification and authorization process. required and
CHAA - Certified Healthcare Access Associate CHAA certification, within 1 Year required
Pharmacy Benefit Specialist Ii
By CareOregon At , Portland, 97204, Or $68,390 - $82,750 a year
Minimum 1 year experience with managed care and/or pharmacy benefit management
Perform data entry into the claims processing system, document management systems, databases and spreadsheets as assigned.
Knowledge, Skills and Abilities Required
Ability to learn new skills and abilities
Educate members, providers, pharmacies, and CareOregon staff about the CareOregon formularies and pharmacy benefit policies.
Document all customer service activities according to organization requirements.
Benefit Programs Specialist I
By City of Norfolk, VA At , Norfolk, Va $38,440 - $62,657 a year
Keeps current by reviewing regulations and learning new ones.
Works with individuals outside the City who may belong to professional or peer organizations. Works with various state and federal agencies.
Performs related duties as assigned.
Valid Driver's License may be required depending on assignment.
Essential functions include but are not limited to:
Verification Specialist Jobs
By State of Georgia At , Atlanta, 30334, Ga $31.30 an hour
Responds to request from clients regarding filing requirements, returned/denied claims, program eligibility and/or interpretation of federal and state laws
Assembles data and makes computations within established guidelines
Categorizes expenditures and maintains appropriate files
Gather and compile data and prepares reports
Monitors claims and payments to insure timely processing and compliance with rules and regulations
Performs work related to the examination and approved/denial of claims
Verification Specialist Paic - Billing And New Initiatives
By Texas Health Resources At , Arlington, 76011, Tx
Work environment: PAIC; Position is fully remote
One year experience in a Healthcare Field, Customer Service, Telemarketing, or Call Center environment (REQUIRED)
Working knowledge of Medical Terminology (REQUIRED)
Requires good written, oral, and telephone communication skills.
Requires knowledge of general office equipment, PCs, and associated software packages.
General knowledge of medical terminology preferred.
Claim Benefit Specialist Jobs
By CVS Health At , , Ga $17.00 - $27.90 an hour

May facilitate training when considered topic subject matter expert.

Utilizes all applicable system functions available ensuring accurate and timely claim processing

Verification Specialist Jobs
By Medical Transportation Management (MTM) At , Eugene, 97402, Or $18 an hour
Previous experience dealing with claims
Knowledgeable about Multiple Claims Processes and Applications
Document detailed information in database
Verify pickup and drop-off times in database
Enter all Trip logs and information
Based upon obtained data, determine if trip is eligible for payment

Are you looking for a job that offers a great work/life balance and the opportunity to make a difference in people's lives? Look no further! We are looking for a Benefit Verification Specialist to join our team and help ensure that our customers receive the benefits they are entitled to. You will be responsible for verifying eligibility and ensuring accuracy of benefit information. If you are detail-oriented and have excellent customer service skills, this could be the perfect job for you!

Overview Benefit Verification Specialists are responsible for verifying the eligibility of individuals for various benefits, such as health insurance, disability, and other public assistance programs. They work with government agencies, insurance companies, and other organizations to ensure that individuals receive the benefits they are entitled to. Detailed Job Description Benefit Verification Specialists are responsible for verifying the eligibility of individuals for various benefits, such as health insurance, disability, and other public assistance programs. They work with government agencies, insurance companies, and other organizations to ensure that individuals receive the benefits they are entitled to. They must be able to interpret and explain complex regulations and policies, and must be able to accurately document and track all benefit information. Benefit Verification Specialists must also be able to communicate effectively with individuals and organizations to ensure that all benefit information is accurate and up-to-date. Job Skills Required
• Knowledge of government regulations and policies related to benefits
• Ability to interpret and explain complex regulations and policies
• Excellent communication and interpersonal skills
• Ability to accurately document and track benefit information
• Proficiency in computer applications such as Microsoft Office
• Ability to work independently and as part of a team
Job Qualifications
• Bachelor’s degree in a related field
• At least two years of experience in a related field
• Knowledge of government regulations and policies related to benefits
• Excellent communication and interpersonal skills
Job Knowledge Benefit Verification Specialists must have a thorough knowledge of government regulations and policies related to benefits. They must be able to interpret and explain complex regulations and policies, and must be able to accurately document and track all benefit information. Job Experience Benefit Verification Specialists must have at least two years of experience in a related field. They must also have a thorough knowledge of government regulations and policies related to benefits. Job Responsibilities
• Verify the eligibility of individuals for various benefits
• Interpret and explain complex regulations and policies
• Accurately document and track all benefit information
• Communicate effectively with individuals and organizations
• Ensure that all benefit information is accurate and up-to-date