Insurance Verification Specialist

Employer
A-Line Staffing Solutions
Location
Rockville, MD
Posted
Sep 11, 2017
Closes
Sep 18, 2017
Function
Accountant, IT
Hours
Full Time
A-Line Staffing is looking for Healthcare Call Center Representatives, Benefit Verification Specialists, and Insurance Verification Specialists in Rockville, MD. The candidate will work a M-F 8:30am-5:30pm schedule. I have provided a Job Description and Requirements for you to review. If interested please contact Taylor at 877-782-3334 ext 217 or [Click Here to Email Your Resume]! Primary Duties & Responsibilities: Collects and 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 according to Program specific SOPs. Verification process could include electronic validation of pharmacy coverage and medical eligibility. Identifies any restrictions and details on how to expedite patient access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as part of finalizing product. Reports any reimbursement trends/delays to supervisor. Performs related duties and special projects as assigned. Required Qualifications: Proficient Windows based experience including fundamentals of data entry/typing. Working knowledge of Outlook, Word, and Excel. Strong interpersonal skills and professionalism. Independent problem solver, good decision maker, and robust analytical skills. Strong attention to detail. Effective written and verbal communication. Ability to work in a fast-paced office environment. Work requires focus, flexibility, and the ability to adapt to changing work situations. This position requires that the Associate be seated most of the day. If you are interested or have further questions please contact Taylor at 877-782-3334 ext 217 or [Click Here to Email Your Resume]! Key Words: Healthcare, Healthcare Call Center, Call Center, Insurance Verification, Benefit Verification, Prior Authorization, Benefit Investigation, Claims, Healthcare Reimbursement, Outbound Calling, Insurance