What are the responsibilities and job description for the Verification of Benefits Specialist position at PHOENIX EMPLOYEE SOLUTIONS LLC?
Job Details
Description
Position Title: Verification Specialist, Administration
Supervisor: Director of Admissions
FLSA Classification: Non-Exempt
POSITION SUMMARY: The Verification Specialist is responsible to verify patient insurance benefits for Substance Abuse.
GENERAL REQUIREMENTS/QUALIFICATIONS
COMPETENCIES:
- Analytical: This individual interprets and records complex and diverse information obtained from insurance provider.
- Planning/organizing: This individual prioritizes verifications, uses time efficiently and manages conflicting priorities in an effective manner.
- Quality management: Maintains confidentiality of client records.
ESSENTIAL FUNCTIONS and BASIC DUTIES
- Performs telephonic support for online authorization of substance abuse services
- Determines member benefit coverage
- Strong attention to detail
- Ability to work effectively in a fast paced environment and adapting easily to changes in assignment and routine.
- Re-verifies eligibility as needed, for UR denials
- Performs other duties as required
- Excellent computer, multi-tasking and phone skills
- Ability to work well under pressure (workflow is time sensitive)
- TEAM PLAYER and willing to be diversified in job duties
MINIMUM EDUCATION AND REQUIREMENTS:
- A High School diploma (or equivalent), preferred
- Highly proficient with web-based software and PC user navigation.
- Minimum 2 year of related work experience and/or Customer service experience.
Qualifications
PHYSICAL DEMANDS/ WORK ENVIRONMENT REQUIREMENTS:
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PHYSICAL DEMANDS |
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Physical Tasks |
0-25% |
26-50% |
51-75% |
76-100% |
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Standing |
X |
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Walking |
X |
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Bending |
X |
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Crouching |
X |
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Carrying |
X |
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Pushing |
X |
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Pulling |
X |
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Sitting |
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X |
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Reaching |
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X |
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Reading |
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X |
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Driving |
X |
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LIFTING/LOWERING |
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Light (1-20 lbs) |
X |
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Medium (21-50 lbs) |
X |
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Heavy (51 lbs) |
X |
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MENTAL DEMANDS |
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Psychological |
High |
Medium |
Low |
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Mental Stress |
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X |
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Work with Others |
X |
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EMPLOYER’S RIGHTS:
This job description does not list all the duties of the job. Incumbents may be asked by their supervisor to perform other duties. Incumbents will be evaluated in part based upon their performance of the tasks listed in this job description.
The Company has the right to revise this job description at any time. The job description is not a contract for employment, and either you or the Company may terminate employment at any time, with or without cause, with or without notice (subject to applicable laws).
Salary : $21 - $24
