Benefit Verification Specialist/Pt. Enrollment
US – Florida – Tampa, United States
R
USD 61K-82K Mid-level Full Time
Tasks
- Assess utilization management and prior authorization requirements
- Document lessons learned to improve processing times
- Enter patient data into supporting systems for enrollment
- Follow standard operating procedures and company policies
- Handle calls and outreach from health care professionals
- Identify missing information and follow up to resolve gaps
- Initiate prior authorizations and appeals when applicable
- Monitor pended cases and potential delays
- Perform benefits verification by reviewing patient and insurance information
- Support system end user testing and process improvement
- Verify reimbursement requirements including copays and coinsurance
Perks/Benefits
- Career development
- Dental insurance
- Disability insurance
- Flexible spending accounts
- Health insurance
- Hybrid work
- Life insurance
- Paid time off
- Remote work
- Retirement savings plan
- Vision insurance
Skills/Tech-stack
Customer Service | Data Integrity | Data Management | Data entry | Insurance verification | Medical billing | Medical coding | Prior authorization | Quality Assurance | Reimbursement verification | Utilization management
Education
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