Benefits Verification Specialist

Employer
Kelly Services
Location
Rockville, MD
Posted
Sep 15, 2017
Closes
Sep 18, 2017
Function
Accountant, IT
Hours
Full Time
POSITION SUMMARY:Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage. PRIMARY DUTIES AND 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. 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. Required: 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 Preferred: High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree. Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus Broader experience/training may be considered in fields such as case management, social services and pharmacy technician. Familiarity with verification of insurance benefits a plus. Fundamental understanding of key payers including Medicaid, Medicare and private payers Strong customer service experience Why Kelly(R)?At Kelly Services(R), we work with the best. Our clients include 95 of the Fortune 100 (TM) companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. About Kelly Services(R) As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter. Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.