VOB Specialist - PCP

VOB Specialist - PCP

Location: Lake Mary, FL

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 6 months
• Pay Rate: $21.37 / Hour (USD)
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job Summary

This is a Verification of Benefits (VOB) role not a customer service role. The VOB Specialist is responsible for contacting insurance companies to verify insurance benefits, initiating pre-authorization and referral requests, managing appeals for denied coverage, and maintaining accurate customer records in the practice management system.

Key Responsibilities

• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, 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 co-pays, if applicable.
• Applies knowledge of company procedures, contracted and non-contracted 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.

Required Skills

• Understanding of Medicare rules and regulations
• Understanding of managed care as it relates to benefits and authorizations
• Advanced MS Office experience
• Strong verbal and written communication skills
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
• Must be able to work under pressure and meet deadlines

Education Requirements

• High school diploma or GED required

Required Experience

• Must have prior authorization/verification experience
• Preferred two or more years' experience, but a minimum of 1 year experience is required in insurance benefits verification and/or collections and/or managed care contracting

Benefits

• Medical, Vision, and Dental Insurance Plans
• 401k Retirement Fund

Important Notes

• An onsite meeting will be required. Candidates who are only available for a Teams meeting should not apply.

About the Client

This client is a leading healthcare innovator with a portfolio spanning medical devices, diagnostics, nutritional products, and established pharmaceuticals, with operations and patient reach extending across more than 160 countries worldwide. The organization's teams include biomedical engineers, clinical scientists, regulatory affairs specialists, and commercial operations professionals who collaborate across four major business segments to deliver life-changing technologies and solutions. With a certified Great Place to Work designation and 80 percent of employees reporting a positive workplace experience well above the national average this is an organization with genuine scale, resources for professional development, and a mission grounded in inclusion, innovation, and improving global health outcomes over more than 140 years.

About GTT

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.

Job Number: 26-11007

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