Benefits Specialist (Remote)

Summary/Objective

Responsible for verifying patient’s eligibility and benefits. Provides support to Centralized Services Department under the direction of Centralized Services Supervisor. Performs administrative tasks such as obtaining and verifying eligibility and benefits, while applying critical thinking skills to investigate patient information discrepancies to resolve problems.

Essential Functions

  1. Initiates benefit verification for patients.
  2. Contacts various insurance carriers via phone and website/portals to obtain verification of eligibility.
  3. Provides accurate time of service estimates for patient procedures.
  4. Verifies data entry accuracy.
  5. Identifies patient information inaccuracies and investigates to resolve issues and correct information.
  6. Prioritizes patients as outlined in department workflow policy.
  7. Other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

  1. Customer Client Focus
  2. Problem Solving/Analysis
  3. Technical Capacity
  4. Time Management
  5. Communication Proficiency
  6. Teamwork

Supervisory Responsibility

This position has no supervision responsibilities.  

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.