Insurance Company Need Benefits Verification Specialist

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           Benefits Verification Specialist

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• Department: Medical Device & Remote Monitoring
• Type: Full-time
• Min. Experience: Some Experience
• Salary: $16.00 - $20.00 per hour

Job Summary: G Medical Diagnostic Services is a next-generation mHealth company that is utilizing patented wireless technologies proprietary information technology and service platforms to empower a new generation of consumers, patients, and providers. We strive to raise the quality and cost-effectiveness of care with enhanced patient compliance and the delivery of clinically relevant reporting to make a measurable positive impact in the lives of those we serve. The Revenue Integrity Specialist will assist in revenue generation for the company by processing enrollments, verifying insurance eligibility and coverage information, and obtaining pre-authorizations accurately and timely. This position is critical in providing high quality patient satisfaction and delivery of insurance benefits to our patient population to provide best in class customer experience.


Job Description ROLE AND RESPONSIBILITIES
Adheres to service level standards focused on insurance benefits verification, pre-authorizations, and issue resolution

Primary point of contact to patients in providing insurance benefits and coverage information.

• Monitors enrollment work queue through revenue cycle dashboard to resolve eligibility and pre-authorization requests.

• Communicate with patients in a clear and understandable manner providing insurance coverage/benefits and utilize critical thinking skills to assist patients in understanding the cost of service.

• Follows policies and procedures that produce high quality customer service delivery and reflect industry best practices.

• Maintain superb and positive professional relationships with all levels inside and outside the organization.

• Manage incoming and outgoing calls to patients and insurance companies. Engages business development managers and clients when necessary.

• Promote teamwork among team members, foster enthusiasm, and shift priorities independently under the supervision of a Director.

• Deliver best in class patient support and increase patient satisfaction and overall experience.

• Serve as a key member in the revenue cycle process to ensure accurate and timely insurance benefits verification, pre-authorizations, and patient outreach.

• Work closely with billing team to identify insurance eligibility denial trends and preventable root cause issues.

• Coordinate with departmental leadership to develop action plans to address billing edit errors, implement process improvements, and mitigate errors.

• Continuously understand changes in payer policies and behavior, and communicate changes with appropriate department personnel.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

High School Diploma or equivalent • 3 years related experience • Strong verbal communication skills and strong attention to detail • Demonstrated organization, problem solving, and critical thinking skills • Strong knowledge of health insurance terminology and insurance verifications • Desire to be involved with a strong work ethic for customer satisfaction • Previous experience in healthcare 
environment (preferred)