Benefits/Medical Insurance Verification Specialists/ Call Center Positions available
Our Medical Insurance Verification Specialists are responsible for the following services to assist patients and providers in accessing prescriptions.
Completing patient benefit verification's through outbound calls to payers through inbound calls
Completing all required information for completion of benefit coverage in the database
Providing quality review of benefit summaries completed by candidate
Performing fax reviews and is the final reviewer of the patient information documents before the final is submitted to physician’s offices
Auditing benefits information on the benefit verification within the database and identifying any inconsistencies with the summary of benefits
Performing audit and review of information in the payer tool to the benefit verification and identifying any inconsistencies
May perform outreach to clarify any inconsistencies with the payers
A few things we are looking for in the qualified candidate:
·Demonstrate superior customer service/call center experiences
·Proficient in Microsoft Office Word and Excel.
·Demonstrate strong problem-solving skills and the flexibility to be able to accommodate the needs of the program.
Some nice to have's:
·Comprehensive understanding of benefit structures and reimbursement issues for physician administered products across payer types. Physician-administered injectable experience is preferred but not required.
·Ability to review and compare benefit summaries and determine if they are accurate as compared to internal payer resources.
·Medical/ Benefits Coding Experience a Huge Plus!
·Call Center/Customer Service experience
Must be able to pass a comprehensive background verification and drug test.
Help us improve CareerBuilder by providing feedback about this job:
Report this job
Report this Job
Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to ourTrust and Site Security Team
privacy and protection,
when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder
Terms and Conditions
for use of our website. To use our website, you must agree with the
Terms and Conditions
and both meet and comply with their provisions.