Legal On-Site Service Specialist

Date Posted:

04/15/2024
Hiring Organization:

Rose International
Position Number: 462275
Job Title:

Verification of Benefits Specialist
Job Location:

Orlando, FL, USA, 32810
Work Model:

Onsite
Shift:

8am to 4:30pm or 8:30am to 5pm
Employment Type:

Temporary
Estimated Duration (In months):

6
Min Hourly Rate ($):

18.87
Max Hourly Rate ($):

18.87
Must Have Skills/Attributes:

Customer Service, Insurance, Worker

Job Description

**Only those lawfully authorized to work in the designated country associated with the position will be considered. **

**Please note that all Position start dates, and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements. **

Education:

min. HS diploma or GED equivalent

Job Requirements:
• Years Experience: min. 1 yr.
• Knowledge of VA (Veterans Affairs), Workers Comp, PA Appeals is a must
• 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

Duties
• Contacts insurance companies to verify insurance benefits
• Initiates pre-authorization 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.

Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

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