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Benefits Verification Specialist - Remote
Company | BioSpace |
Address | Denver, CO, United States |
Employment type | FULL_TIME |
Salary | |
Category | Internet News |
Expires | 2023-08-14 |
Posted at | 10 months ago |
HOW MIGHT YOU DEFY IMAGINATION?
- Monitoring potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates
- As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology)
- As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
- Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients
- Understanding, and adhering to, government regulations and company policies
- Able to remain agile with multiple plan designs and call types
- Verifying benefits for each assigned patient case and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements
- Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps
- Maintains positive rapport with internal and external customers through effective communication and active listening.
- High school diploma or GED
- At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.)
- Bachelors degree in a related field of study
- Learning through formal and informal channels, including through a spirit of continuous personal improvement, innovation, and dedication to the successful outcomes for patients
- Delivering a high quality, accurate compassionate customer experience
- Strong problem-solving skills and experience with finding resolution to complex problems
- Communicating optimally through both written and verbal and adapt style depending on the person or audience
- Using innovative technology while maintaining the integrity of quality information across processes and activities
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