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Benefit Verification Specialist Jobs

Content Verification Specialist Jobs
By Dumayu At United States
Experience as a content writer, fact-checker, editor, or in a similar role.
Excellent written and verbal communication skills.
Comfortable working remotely and collaborating with a virtual team.
To apply, please submit your resume with your relevant experience.
Carefully analyse and verify the authenticity of news videos and photos circulating on social media.
Conduct research to confirm the accuracy of the content and its source.
Legal Assistant / Claims Verification Specialist
By Mike Morse Law Firm At Southfield, MI, United States
Accurate data entry abilities in Case Management Software.
Cultural awareness and relationship management skills.
Organize and manage pre-suit materials, including emails, treatment records, and insurance documents.
Analyze files and provide recommendations to the Claims Verification Manager, drawing on relevant materials and legal considerations.
Strong communication skills and a consultative approach.
Excellent telephone etiquette and interpersonal skills.
Remote Pharmacy Benefit Specialist ($18.75 / Hour)
By Talentify.io At United States
Handle incoming calls regarding members' prescription benefits, including copay inquiries, medication coverage, and authorization processes
Educate members on how to effectively utilize their benefits
Troubleshoot pharmacy claims in real-time, verifying information, comparing claim results to benefit rules, and entering overrides when necessary
3+ years of prior medical customer service experience
Excellent phone etiquette and typing skills (40wpm, 500kph)
Basic knowledge of Microsoft Office and internet usage
Verification Specialist Jobs
By State of Georgia At , Atlanta, 30334
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
Benefit Verification Auditor - Remote
By Orsini Specialty Pharmacy At , Elk Grove, 60007
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Patient Benefit Specialist Jobs
By Kinney Drugs At Syracuse, NY, United States
Preferred Pharmacy technician or related certification
Past experience in a customer service related field
6-12 months experience as a pharmacy technician
Any and all additional eligibility requirements based on the specific position
Broad knowledge of medications, physician orders, and pharmacy systems
Excellent computer and keyboarding skills
Senior Specialist Identity Verification
By KeyBank At , Remote $24 - $27 an hour
Actively identify and offer ideas and suggestions to improve group efficiencies
Continually develop, utilize, and share knowledge of Identity Verification industry trends and serve as a subject matter expert
Support the Enterprise Identity Verification program by continuing to build knowledge of current products across all LOBs
Strong analytical, research, and problem-solving skills
Excellent critical thinking, judgment, and decision-making skills
High school diploma or equivalent work experience (College degree preferred)
Benefit Verification Specialist Jobs
By CVS Health At , $17.00 - $27.90 an hour
Analytical and problem solving skills
Experience working in Microsoft Office, specifically Excel, Outlook and Word
Knowledge of Medicare, Medicaid, and third party vendors
Remote Benefit Specialist ($21.00 - $23.00 / Hour)
By Talentify.io At United States
Must have knowledge of employee benefits, COBRA, and other federal/regulatory requirements
Processes benefit-related changes such as life-status changes, address changes, etc.
Resolves benefit administration service issues with internal staff and outside vendors
Counsels employees regarding benefit programs including plan features, procedures, eligibility, and premium information
2 years of related experience and/or training
Proficient PC skills (Microsoft Office, Outlook, HRIS, etc.)
Outbound Verification Specialist - Qualifying Guide
By Instant Teams At , Remote $16 - $18 an hour
Handle proficient data entry and computer-related requirements in digital environment
Utilize excellent oral communication skills and positively engage with any individual over the phone, particularly elderly individuals
Medical, dental, and vision benefits are activated after 60 days (for full-time only)
Benefits - Instant Teams Employee Benefits Website
Due to specific position requirements, we cannot hire from the following locations for this opportunity
Cohort 1: Monday - Friday 6am - 2pm PST | 9am - 5pm EST
Verification Specialist Jobs
By LivaNova At , Remote
Performs other duties as may be required by management
Assist Case Management with payer data collection
Knowledge of health insurance industry practices/functions to include Medicare, Medicaid and all types of commercial and managed care organization’s coverage policies
Handles receipt and data entry of all incoming faxes including PIQs/IVEAs and patient medical records in a timely manner.
Assists Case Managers with maintenance of Sales Logix including accuracy of contact and account information
Assists Department Manager/Director (All Levels) with special projects
Benefit Verification Specialist- Bone
By Amgen At , Tampa, 33607, Fl
Strong problem-solving skills and experience with finding resolution to complex problems
Delivering a high quality, accurate compassionate customer experience
To be a highly successful Benefits Verification Specialist, applicants should be able to demonstrate success:
Flexible work models, including remote work arrangements, where possible
As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
As required, supporting new initiatives and process improvement activities (e.g. end user testing of new system features and supporting technology)
Prescription Benefit Verification Representative
By CVS Health At , , Fl $17.00 - $27.90 an hour
One year computer keyboarding experience, skills and aptitude
Prefer healthcare work experience and familiarity with benefits, insurance, prescriptions, medical terminology
One year experience in a customer service role handling and resolving a high volume of complex customer needs over the phone
One year work experience with Windows-based applications like Windows, Microsoft Office, internet navigation, and email applications
Take your time while completing our Virtual Job Tryout (VJT).
Benefit Verification Auditor - Remote
By Orsini Pharmaceutical Services At , Elk Grove, Il
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Head Administrative Clerk/Veterans Benefit Specialist
By City of Boston At Boston, MA, United States
Interviews applicants for veterans’ benefits making thorough investigations as to the legality and need for relief.
Performs extensive research of applicants including address (es), employment status, service dates, discharge types, dependent information, and related information.
Engages in the determination of eligibility and need of veterans and their dependents under M.G.L Chapter 115, as amended.
May conduct home visits and/or field investigations.
Coordinates the communication between caseworkers and veterans.
Keeps records on action taken on cases and submits monthly reports on all active cases.
Benefit Verification Specialist Jobs
By Lash Group At United States
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
Reports any reimbursement trends/delays to management.
An equivalent combination of education and experience will be considered.
Proficient Windows-based experience including fundamentals of data entry/typing.
Reviews all patient insurance information needed to complete the benefit verification process.
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
Pharmacy Benefit Specialist Jobs
By VanderHouwen At United States
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.
Pharmacy Benefits Specialist I Responsibilities
Pharmacy Benefits Specialist I Qualification:
Educate members, providers, pharmacies, and staff about the formularies and pharmacy benefit policies.
Verification Specialist Jobs
By Zelis At St Petersburg, FL, United States
Review daily reports and data entry forms to identify accounts that need maintenance or verification
Associate's Degree/two years college or equivalent work experience
Attention to detail and good analytical skills essential
This is a client facing position, so excellent customer service skills are required
Thorough knowledge of company and departmental policies and procedures
Strong communication skills both written and verbal
Transcript And Verification Specialist, Registar
By University of Iowa At Iowa City, IA, United States
A bachelor’s degree or an equivalent combination of education and experience.
Experience working in higher education, preferably in a Registrar’s office or role.
Direct experience and familiarity with FERPA and university regulations preferred.
Cover letter describing how you meet the qualifications.
Prepare official verifications of enrollment, degree, dates of attendance, etc. for students, staff and outside agencies within FERPA guidelines.
Authenticate and verify the accuracy of official academic records such as transcripts. Apply changes in academic record policies.
Verification Specialist - Ecw
By Jobot At Atlanta, GA, United States
Verify eligibility and benefits for all scheduled procedures
Communicate all financial responsibilities and additional information for processing insurance requests efficiently
Partner with insurance companies to navigate insurance processes and interpretation of benefits
Resolve discrepancies with authorizations and benefits in a timely manner
Coordinate with referring offices for complete patient information
Obtain verbal or written authorizations from the appropriate source

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