Senior Benefit
20 hours ago
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Strong Benefit/ Insurance Verifcation Specialists profile
Mandatory (Experience 1) – Must have 4+ years of experience in US healthcare insurance eligibility and benefits verification
Mandatory (Experience 2) – Must have 2+ years of experience of handling team
Mandatory (Experience 3) – Must have Strong understanding (Subject matter expert) of insurance types — Commercial, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, HMO/PPO, VA, DoD, etc.
Mandatory (Experience 4) – Experience in verifying deductibles, co-pay/coinsurance, prior authorization requirements, network status, and J-code/CPT/HCPCS-specific benefits.
Mandatory (Experience 5) – Ability to accurately document benefit details and maintain data in internal systems (CRM, RCM, or EMR platforms)
Mandatory (Experience 6) – Must have worked on payer portals such as Availity, NaviNet, Aetna, UHC, or equivalent.
Manadatory (Skills) - Good communication skills
Preferred
Preferred (Experience) – Prior experience in specialty pharmacy, oncology, infusion therapy, or behavioral health benefit verification.**
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