Job Title: Verification of Benefits Specialist
Location: Orlando FL 32810
Duration: 6 months
Responsibilities:
- Contacts insurance companies to verify insurance benefits.
- Initiates Preauthorization PCP referral and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
- Files Appeals for denied coverage to insurance companies as needed.
- Maintains customer records in practice management system related to benefit coverage coordination of benefits authorizations denials appeals outcomes and communication with insurance company.
- Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification authorization appeals and outcomes for services of care.
- Provides customers with information that includes but is not limited to: updates on status of authorizations developing & communicating patient financial responsibility estimates and collecting copays if applicable.
- Applies knowledge of company procedures contracted and noncontracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes.
- Performs other related duties as assigned.