Verification Specialist - Acute Team

Continuumrx is currently recruiting remote employees in Virginia to support our Acute Verification Team!

Job Summary:

• The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients.

Roles and Responsibilities:

• Verifies benefit coverage and as appropriate, financial responsibility.
• Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification.
• Documents all patient interaction in EMR as a billing note.
• Serves as a resource and problem resolution expert for patients, Intake and Sales.
• As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Document information in EMR and communicates as appropriate to team members.
• Assists with Ready To Bill (RTB) as appropriate.
• Performs other duties and special projects, as assigned.

Qualifications and Experience:

Required:

• 2 or more years of experience in healthcare reimbursement with focus on insurance verification and authorizations.
• Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required.
• Prior work in specialty or home infusion, homecare or related field; preferred but not required.
• Strong computer skills (Microsoft Word, Excel, PowerPoint)
• Exceptional communication - verbal and written
• Exceptional interpersonal skills
• Exceptional organizational and process skills
• Ability to work well under pressure, meet timelines, and completes assigned projects
• Exceptional critical thinking and problem solving skills
• Proven performance, history in related field Exceptional attention to detail and demonstrated results
• Exceptional track record of customer satisfaction