Shift Timings: 8:00 AM - 8:00 PM EST

Duration: 3 months

A Benefits Verification Specialist verifies patients' insurance benefits to help determine their coverage for specific healthcare programs. This involves contacting insurance companies, gathering necessary information, documenting coverage details, and handling any restrictions or prior authorization requirements. The role requires strong data entry skills, attention to detail, and the ability to communicate effectively with various stakeholders.

The candidate will be responsible for Reviewing patient insurance information and completing benefit verification.

Case Management: Triage cases with missing information to the appropriate program associate.

Benefit Verification: Verify and document specifics of patient coverage, cost share, and provider options for various payer plans.

Restriction Identification: Identify coverage restrictions and outline processes to expedite patient access.

Authorization and Claims: Document and initiate prior authorization processes and handle claims appeals.

Quality Assurance: Perform quality reviews of completed work.

Reporting: Report reimbursement trends and delays to management.