Verification Benefits Specialist

For furtherinquiries regarding the following opportunity please contact one ofour Talent Specialists

Meghna (224)

Divya (224)

Title: Verification & BenefitsSpecialist
Location: OrlandoFL
Duration: 6Months

• Takes a high volume of inbound or placesoutbound calls to provide information and services tocustomers.
• Utilizes a database to retrievecustomer or company information.
• Must be ableto learn and follow detailed instructions use a variety ofresources and possess good organizational skills to provideaccurate information.
• Follows processes andsteps to ensure appropriate actions and follow through taken forcustomers.
• Document needs for customers indatabases.
• Must demonstrate patience tactempathy and problem solving skills with consistently good voicequality.
• Can organize and handle calls withspeed and accuracy. Must be able to be available to customers for acertain period of time during the day.
• Canwork with complex computer applications and resourcematerials.
• Can use multiple operatingenvironments (Windows DOS Mainframe).
• Musthave proven skills in the following PC software products LotusNotes Excel MS Word

• Min. 1 yr. Knowledge of VA Workers Comp PAAppeals is a must.

• Understanding of Medicare rules andregulations
• Understanding of managed care asit relates to benefits and authorizations
• Advanced MS Office experience
• Strongverbal and written communication skills

• Min. HS diploma or GED equivalent

• Contacts insurance companies to verify insurancebenefits
• Initiates preauthorization requestsfor new and ongoing services with insurance companies and performsfollow up activities for an outcome
• FilesAppeals for denied coverage to insurance companies asneeded
• Maintains customer records in practicemanagement system related to benefit coverage coordination ofbenefits authorizations denials appeals outcomes and communicationwith insurance company
• Coordinates andcommunicates with other departments as needed to obtain necessaryinformation to complete benefit verification authorization appealsand outcomes for services of care
• Providescustomers with information that includes but is not limited to:updates on status of authorizations developing & communicatingpatient financial responsibility estimates and collecting copays ifapplicable
• Applies knowledge of companyprocedures contracted and noncontracted guidelines to process casesaccordingly and to respond to incoming correspondence anddocumentation as well as updating customer records according tooutcomes; performs other related duties as assigned.

About us: DivIHN the IT AssetPerformance Services organization provides Professional ConsultingCustom Projects and Professional Resource Augmentation services toclients in the MidWest and beyond. The strategic characteristics ofthe organization are Standardization Specialization andCollaboration. DivIHN is an equal opportunity employer.DivIHN does not and shall not discriminate against any employee orqualified applicant on the basis of race color religion (creed)gender gender expression age national origin (ancestry) disabilitymarital status sexual orientation or military status.