Verification of Benefits Assistant
Verification of Benefits Assistant
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45000 - 45000
1 Vacancy
Job Description
This is a remote position.
Responsibilities:
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Stay on top of benefit requests that arrive through various methods such as email and clientspecific applications..
Benefits checks should be completed within an hour.
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Know the methods used to verify benefits such as insurance portals carrier portals general portals or calling into carriers.
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Check the process of documentation on requested insurance patients.
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Follow through with detailed items that need to be verified and update the relevant information in various systems according to specific clients.
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Check eligibility monthly to ensure that the given patient is still active with the given plan and input results in various systems based on specific clients.
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Complete a specific process if a plan has been changed and/or terminated.
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Complete each authorization request from all methods received email or clientspecific applications to be submitted to carriers for review.
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Complete and submit according to carrier guidelines.
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Follow up on each submitted request submitted.
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Discuss with authorization team member how to handle any delayed partial and full denials of authorizations and act accordingly.
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Follow the process of requesting single case agreements according to when the client is not yet participating with a given carrier network according to given rules in effect at given time for given practice group.
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Submit partial or full denied cases to autism advocacy groups and follow up with team member.
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Update various systems based on client s systems with accurate information authorization team received from carriers.
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Search nearexpiring authorizations that practice groups have not submitted for reauthorization.
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Communicate with authorization team member if a new carrier/plan which do not have rules or coding documented.
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Prepare email for the authorization team member with details for client regarding each item listed above.
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Attend daily meetings with authorization team member.
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Attend weekly team meetings completing the todo s assigned to authorizations team member.
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Other Duties as Assigned
Requirements
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Skilled in customer service and supportive interactions with team members and others.
Knowledge of verification of benefits and payor processes
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Detail orientated with above average organizational skills
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Able to plan and prioritize to meet deadlines
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Excellent verbal and written communication
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Communicates clearly and effectively
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Excellent reading comprehension
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Excellent computer skills including Microsoft programs such as Excel Word
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Thorough understanding of navigating the internet
Education/experience required
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4 year college degree
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2 years experience in US based medical billing practice or
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2 years experience in a medical practice dealing with billing including but not limited to provider credentialing auth reimbursement etc. preferably in Behavioral Health to some degree
Technical Requirements:
- Only Windows and Mac OS are acceptable
Benefits
- Permanent work from home
- Immediate hiring
- Steady freelance job
- Profit sharing incentive
- Paid time off
- Holiday pay
- Annual Performance and Raise Evaluation
- Quarterly Perfect Attendance Incentive
- HMO
- BruntWork Loan Assistance
- Independent Contractor Arrangement
Skilled in customer service and supportive interactions with team members and others Knowledge of verification of benefits and payor processes Detail orientated with above average organizational skills Able to plan and prioritize to meet deadlines Excellent verbal and written communication Communicates clearly and effectively Excellent reading comprehension Excellent computer skills, including Microsoft programs such as Excel, Word Thorough understanding of navigating the internet Education/experience required 4 year college degree 2 years experience in US based medical billing practice or 2 years experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc. preferably in Behavioral Health to some degree Technical Requirements: Only Windows and Mac OS are acceptable Company s workforce vision, environment, and vibe: Core Values! We hire and promote staff based on the following core values. We expect our entire workforce always to possess and demonstrate them: 1) Respectful of our unique cultural environment - Righteous, Noble, and Modesty. 2) Absolute Confidentiality. 3) Embracing Teamwork. 4) Loyal Behavior & Positive Attitude. 5) Accountability 6) Proactiveness 7) Thoroughness 8) Focused on results 9) Inspired to learn & grow constantly. 10) Devoted to providing top-tier services to our clients through our unique service-oriented philosophies. First Who! Then What! We focus first on getting the right people who share our vision to be part of our workforce! Then we find the right seat for them, aligned with their talent and continued acquired skills! Compensation/Incentive Structure! Competitive pay, competitive benefit package, and share company profits based on results!
Employment Type
Full Time
