Benefits Verification Specialist

In collaboration with the project Team Coordinators and management, the Benefits Verification Specialist is responsible for reaching out to insurance providers to confirm patient-specific benefits on behalf of the physician’s office. The specialist will ask targeted questions to understand the patient's benefits and accurately record this information through…

Benefits Verification Specialist Job OverviewPOSITION TITLE: Reimbursement Counselor (Benefits Verification Specialist – BVS) POSITION SUMMARY:The Benefits Verification Specialist plays a crucial role in our healthcare team, working closely with the project Team Coordinators and Management. This position is responsible for contacting insurance providers to confirm patient-specific benefits on behalf of the physician’s office. The Specialist will engage in discussions about patient coverage and meticulously document findings to ensure accurate data entry and compliance with program-specific Standard Operating Procedures (SOPs).PRIMARY DUTIES AND RESPONSIBILITIES:· Collects and evaluates comprehensive patient insurance information essential for completing the benefits verification process.· Accurately verifies patient benefits and thoroughly documents details for various payer plans, including coverage specifics, cost-sharing, and provider options.· Engages in electronic validation of pharmacy coverage and medical eligibility as part of the verification process.· Identifies restrictions and strategizes methods to expedite patient access to necessary services.· Initiates the prior authorization process and handles claims appeals as required.· Conducts quality reviews of submitted work to ensure high standards before finalization.· Communicates any reimbursement trends or delays to supervisory personnel.· Completes related tasks and special projects as assigned, demonstrating adaptability and focus in a fast-paced environment.· This position primarily involves seated work throughout the day.

Why Join Charlie Health?Across the nation, countless individuals are grappling with mental health challenges, substance use disorders, and eating disorders. Unfortunately, they often face significant obstacles in accessing care, from a lack of local resources to lengthy waiting periods and impersonal treatment options. At Charlie Health, we are dedicated to transforming this narrative.Our mission is to bridge the gap to essential behavioral health services. We offer tailored, virtual care that emphasizes connection—among clients, clinicians, care teams, loved ones, and supportive communities. By prioritizing those with complex needs, we are enhancing access to impactful care and achieving superior outcomes from the comfort of home.As a rapidly expanding organization, we are reaching new communities every day and building a team committed to redefining the landscape of behavioral health treatment. If you are ready to leverage your expertise to facilitate meaningful change and help more individuals access the care they need, we would love to connect with you.About the RoleThe Benefits Verification Specialist is tasked with managing the verification of benefits process, ensuring that policy reviews are conducted efficiently and accurately while adeptly navigating referral complexities. Accurately determining benefits is crucial as it establishes patient financial responsibility and our ability to receive reimbursement for services rendered.Our team is composed of passionate, forward-thinking professionals eager to tackle the mental health crisis and contribute to life-altering solutions. We seek a candidate who resonates with our mission and is excited about the chance to build a business that profoundly impacts millions of lives.

Key Qualifications:1. Proven Telephone Customer Service Experience2. Background in Medical Office, Insurance, or Claims (preferred)3. Solid Work History (minimum of 1 year at 3 of the last 5 employers or 2 of the last 3 employers)Position Overview:The Benefits Verification Specialist plays a crucial role in the healthcare process, assisting the project Team Coordinators and Management team by contacting insurance companies to confirm patient-specific benefits. This position involves asking relevant questions about patient benefits and accurately documenting the information gathered.Core Responsibilities:· Review and collect necessary insurance information from patients to facilitate the benefits verification process.· Verify patient-specific benefits and meticulously document details for various payer plans, including coverage, cost-sharing, and provider access in accordance with program-specific SOPs.· Engage in electronic validation of pharmacy coverage and medical eligibility as part of the verification process.· Identify any restrictions on patient access and provide strategies to expedite the process.· Document and initiate prior authorization procedures, claims appeals, and other related processes.· Conduct quality reviews of completed work to ensure accuracy and compliance.· Report any reimbursement trends or delays to the supervisor.· Engage in related duties and special projects as assigned.· Thrive in a fast-paced office environment requiring focus and adaptability.· The role necessitates prolonged periods of sitting.

Role Overview The Insurance Benefits Verification Specialist at hellotend in Nashville, TN ensures members have a clear understanding of their insurance coverage. This position supports studio staff, manages the insurance verification process, researches plan details, and provides attentive service to both members and colleagues. Main Responsibilities Confirm insurance benefits for members and accurately enter information into Tend’s practice management system. Research coverage details using payer websites, insurance portals, and by phone when needed. Gather and verify member demographics and insurance information with professionalism. Understand insurance plan details and explain how benefits affect member responsibilities. Complete verification tasks and processes within set deadlines. Deliver attentive service to members and studio staff, escalating complex cases to senior analysts or leads as appropriate. Collaborate with colleagues to achieve departmental goals, perform quality checks, and support workflow improvements. What Sets You Apart Prioritize Others: Focus on accuracy and service in each verification, building trust with members and teammates. Take Initiative: Own responsibilities, seek clarity, and address discrepancies proactively.

POSITION TITLE: Benefits Verification Specialist (Reimbursement Counselor) Location: Monroeville, PA 15140Pay Rate: $17.00 per hour POSITION SUMMARY:As a key member of our healthcare team, the Benefits Verification Specialist will engage with insurance providers to confirm specific benefits for patients. This role involves thoroughly inquiring about coverage details and entering necessary data to ensure accurate documentation of patient benefit plans. PRIMARY DUTIES AND RESPONSIBILITIES:· Gather and assess all relevant patient insurance details to facilitate the benefit verification process. · Confirm patient-specific benefits and meticulously record details for various insurance plans, including coverage specifics, cost-sharing, and provider access options in accordance with program SOPs.· The verification may involve electronic verification of pharmacy coverage and medical eligibility.· Identify any limitations and provide insights on how to streamline patient access to services.· Document and initiate processes for prior authorization, claims appeals, and other necessary administrative tasks.· Conduct quality checks of your work as part of the final review process.· Report any trends or delays in reimbursement to your supervisor.· Fulfill additional duties and special projects as assigned.· Ability to thrive in a dynamic office setting.· This position involves extended periods of sitting.

Join our dynamic team as a Benefits Verification and Authorization Specialist, where you will play a crucial role in ensuring that patients receive the benefits they are entitled to. You will be responsible for verifying patient eligibility, obtaining authorizations, and liaising with insurance providers to facilitate smooth healthcare delivery.

Job Title: Benefits Verification SpecialistLocation: Monroeville, PAPosition Overview:The Benefits Verification Specialist, under the guidance of project Team Coordinators and management, will be responsible for contacting insurance providers to confirm patient-specific benefits on behalf of physicians. This role involves asking targeted questions to gather relevant information and accurately documenting patient coverage in compliance with program-specific guidelines.Key Responsibilities:Gather and assess all necessary patient insurance details to facilitate benefit verification.Confirm patient benefits and meticulously record specific details for various insurance plans, including coverage options and cost-sharing arrangements, in accordance with established SOPs.Conduct electronic verification of pharmacy coverage and medical eligibility as needed.Identify restrictions and provide guidance on expediting patient access to services.Document and initiate prior authorization processes and claims appeals when required.Perform quality reviews of work to ensure accuracy and completeness.Report reimbursement trends and delays to the supervisor.Engage in related tasks and special projects as assigned.Adapt to a fast-paced office environment while maintaining focus and flexibility.This position requires extended periods of seated work.

POSITION TITLE: Benefits Verification SpecialistLocation: Rockville, MD 20850Pay Rate: $17 per hourPOSITION SUMMARY:The Benefits Verification Specialist plays a crucial role in the healthcare process by working under the supervision of the project Team Coordinators and Management team. This position involves contacting insurance companies on behalf of the physician's office to verify patient-specific benefits. The Specialist will ask detailed questions regarding patient benefits and accurately complete data entry or necessary forms to document the patient’s coverage.PRIMARY DUTIES AND RESPONSIBILITIES:· Collects and reviews patient insurance information necessary for the benefit verification process.· Verifies patient-specific benefits and meticulously documents details for various payer plans, including coverage specifics, cost-sharing, and access/provider options according to established SOPs.· The verification may involve electronic validation of pharmacy coverage and medical eligibility.· Identifies any restrictions and provides details on expediting patient access.· May involve documenting and initiating the prior authorization process and claims appeals.· Completes a quality review of work to ensure accuracy.· Reports any reimbursement trends or delays to the supervisor.· Performs additional related duties and special projects as assigned.· Demonstrates the ability to thrive in a fast-paced office environment.· Requires focus, flexibility, and adaptability to changing work situations.· This position requires the Associate to be seated for the majority of the day.

POSITION TITLE: Benefits Verification Specialist (Reimbursement Counselor)Pay Rate: $17.00 per hour Location: 4350 Northern Pike Suite 150 Monroeville, PA 15146POSITION SUMMARY:As a Benefits Verification Specialist, you will play a crucial role in our team by interacting closely with insurance companies to verify patient-specific benefits on behalf of the physician’s office. You will be responsible for asking the right questions to ascertain patient benefits and accurately documenting coverage details. PRIMARY DUTIES AND RESPONSIBILITIES:· Gather and assess all necessary patient insurance information to facilitate the benefits verification process.· Confirm patient-specific benefits and meticulously log specifics for various payer plans, including coverage details, cost-sharing, and access options in accordance with program-specific SOPs.· Conduct electronic validation of pharmacy coverage and medical eligibility as part of the verification process.· Identify restrictions and provide details on expediting patient access.· Document and initiate prior authorization processes, claims appeals, and other related tasks as needed.· Perform quality reviews of work to ensure accuracy and completeness.· Report any observed trends or delays in reimbursement to the supervisor.· Engage in related duties and special projects as assigned.· Demonstrate the ability to thrive in a fast-paced office environment.· Exhibit focus, flexibility, and adaptability to evolving work situations.· This role requires prolonged periods of sitting.

Join our team as a Benefit Verification Specialist and play a crucial role in helping patients access the care they need. In this entry-level position, you will be responsible for verifying patient insurance benefits and ensuring the accuracy of information provided to our healthcare providers.This role requires strong attention to detail, excellent communication skills, and the ability to work collaboratively within a team. If you are passionate about helping others and looking to start your career in healthcare administration, we want to hear from you!

Join our team as a Benefits Verification Specialist in Specialty Pharmacy, where you will play a pivotal role in facilitating patient access to critical medications. This position involves collaborating directly with healthcare providers and insurance plans to acquire essential information regarding patient insurance coverage for various pharmaceutical products. Your expertise will be invaluable in addressing coding, billing inquiries, and navigating intricate reimbursement challenges.Ensure the timely progression of cases in compliance with company policies and organizational standards, delivering exceptional service quality.Conduct benefit investigations by making outbound calls to payers to verify patient insurance benefits, overcoming complex reimbursement barriers, and identifying available resources.Document patient-specific benefits, including coverage, cost-sharing, and access options.Identify coverage restrictions and provide strategies to expedite patient access to medications.Initiate and document the prior authorization process and manage claims appeals.Report reimbursement trends or coverage delays to management.Act as a vital liaison between field representatives, healthcare providers, and patients.

Join our dynamic team as an Insurance Verification Specialist, where you will play a crucial role in ensuring that patients receive timely and accurate insurance information. Your primary responsibility will be to verify patient insurance details, ensuring that all necessary authorizations are obtained promptly. You will collaborate closely with medical staff and patients to facilitate a smooth process and ensure compliance with insurance policies.

Job Summary: As the Lead Specialist for Benefits and Authorizations, you will play a vital role in ensuring that patients receive the necessary insurance coverage for medical and infusion services. Your responsibilities will encompass verifying patient insurance coverage, processing pre-authorizations, and providing financial assistance support to enhance patient access to care.Key Responsibilities:Verify and accurately document patient insurance eligibility, benefits, and coverage for all office visits and infusion services.Obtain necessary insurance authorizations and pre-certifications for office visits and infusion services.Implement strategies to mitigate insurance denials including conducting peer-to-peer reviews and managing appeals.Maintain an updated understanding of infusion drug authorization requirements across various payers, as well as state and federal regulations regarding coverage and authorization.Calculate and communicate patient financial responsibilities clearly and effectively.Assist patients with financial aid by identifying relevant patient assistance programs and facilitating enrollment in manufacturer copay assistance programs.

Join our dedicated team as an Insurance Verification Specialist, where you will play a crucial role in confirming patient eligibility and coordinating benefits. You will be responsible for verifying coverage details, processing claims, and determining patient responsibilities for services, particularly focusing on major medical insurance and complex PBM plans. Additionally, you will collaborate with patient assistance programs to facilitate benefits investigations.Key Responsibilities:Utilize available resources to gather and document insurance coverage information for patient services.Verify patient insurance coverage for medications, supplies, and pharmacy services.Manage the Prior Authorization process with insurance providers and healthcare practitioners.Conduct comprehensive Medical Verifications for medications and related services.Inform patients, physicians, and clinics about financial responsibilities associated with provided services and any services not covered.Facilitate claims submissions and inquiries with insurance companies, addressing any authorization rejections.Provide urgent notifications to supervisors and collaborate with departments for timely prescription filling and delivery.Manage incoming calls regarding service inquiries, financial responsibilities, and insurance coverage from patients and healthcare providers.

Docketly connects local attorneys with national law firms that need coverage for procedural hearings. The Legal Appearance Verification Specialist plays a key role in ensuring the accuracy and quality of hearing information before it reaches attorneys. This is a full-time, on-site position at Docketly's headquarters in Longmont, Colorado. What you will do Review and validate hearing details to ensure accuracy before sharing with the attorney network. Cross-check information from multiple sources for consistency and completeness. Document hearing data, attachments, and related materials with care and precision. Efficiently distribute verified hearing schedules and links to attorneys. Handle support tickets and basic customer service requests, including straightforward tech support. Maintain a steady workflow, meeting or exceeding daily and weekly verification targets. Communicate clearly and seek clarification when needed. Requirements At least 2 years of experience in data verification, customer service, tech support, or a similar field. Strong attention to detail and accuracy. Comfort with repetitive tasks while staying focused in a changing work environment. Basic troubleshooting skills. Preferred qualifications Familiarity with platforms such as Claude, Codex, and OpenAI. Experience with SQL, Python, or Java is a plus. What sets candidates apart Interest in growing within a rapidly expanding business. Ability to thrive in a fast-moving setting. Detail-oriented and comfortable working across multiple systems. Strong communication skills and a collaborative approach to problem-solving. Motivation and a proactive work style.

As a Benefits Specialist at ID.me, you will play a crucial role in managing and enhancing our employee benefits programs. This position involves collaborating with various departments to ensure that our benefits offerings meet the needs of our diverse workforce. Your expertise will help in the administration of health, retirement, and wellness programs, ensuring compliance with all regulations.

About the Role Trucordia is hiring a Benefits Specialist in Lindon. This position manages employee benefits programs and works closely with different departments to keep offerings competitive and comprehensive. The role focuses on making sure benefits align with what employees need.

We are seeking a dedicated and detail-oriented Insurance Verification and Billing Specialist to join our growing team. In this role, you will be responsible for verifying patients' insurance coverage, managing billing processes, and ensuring accurate documentation. Your attention to detail and strong communication skills will be essential in providing excellent service to our patients and healthcare providers.

Rexel seeks a Benefits and Leave Specialist based in Dallas to oversee employee benefits and leave programs. This role ensures that all offerings align with company policies and comply with legal requirements. Day-to-day, the position centers on supporting employees and maintaining accurate program administration. Key Responsibilities Administer a variety of employee benefits programs, ensuring smooth operation and accurate records Manage leave of absence requests, tracking documentation and timelines Monitor compliance with relevant laws and regulations for all benefits and leave processes Respond to employee questions about benefits and leave, offering clear and timely information Role Focus This position emphasizes both program administration and direct employee support. Attention to detail and knowledge of compliance standards are important for success in this role.