What are the responsibilities and job description for the Benefit Investigation Specialist - Orlando, Florida - Onsite position at Verito Solutions?
Dear Candidate,
Here is the latest requirement. Please share your most updated resume if you are interested.
Position: Benefit Investigation Specialist
location: Orlando, Florida - Onsite
Contract: 5 months with extensions/conversions
Note: Onsite 5x a week in Orlando, Florida 32819 - (after 90 days can go remote).
Job Description:
Must Haves:
HS Diploma or GEDComputer Skills: Microsoft Office
2 years of medical benefit investigation experience- buy and bill experience
Experience with explaining insurance coverage.
Experience working with all the major payors -UHC, BCBS, Medicare/caid, etna, etc – experience making outbound calls
Plus:
Call Center Experience
Pharmacy Experience
Salesforce Experience
Day to Day
The Patient Access Specialist is responsible for processing applications, introducing the assistance program, conducting benefit investigation for patients, and navigating complex reimbursement issues including initial entry of patient data into the system, looking up insurance benefits, contacting insurers, advising the healthcare provider and/or patient of patients’ benefits, and identifying patient access barriers and seeking resources to overcome barriers; leading and participating in pilots, new initiatives, special projects, and cross functional teams.
Answers inbound calls and makes outbound calls to introduce services.
• Gathers patient data, addresses the needs of the patient and reviews insurance benefits.
• Records the call details in patient data system.
• Contacts insurers for verification of benefits.
• Handles difficult patient situations when they arise.
• Conducts follow-up with pharmacies.
• Performs other related duties as assigned by management.
Manoj Prajapati | Non-IT Recruiter
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