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Benefit Verification Specialist Jobs in Iowa

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
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)
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)
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
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.
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 ...

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
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 ...

Defined Benefit Calculation Specialist Ii
By Principal Financial Group At , Des Moines, 50392, Ia $18.39 - $39.81 an hour
Provide support as needed in problem resolution, transaction processing and data management.
Associates Degree or equivalent experience required.
Mathematic, Statistics, Finance or Accounting degree major is preferred.
Strong mathematical, technical and analytical skills along with keen attention to detail.
Strong decision making and organizational, mentoring, interpersonal and listening skills.
Defined Benefit Calculation Specialist II
Benefits Verification Specialist Jobs
By AmerisourceBergen At , Remote $30,700 - $45,430 a year
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.

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