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    Verification of Benefits Specialist - Plano, United States - The Fountain Group

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    Description
    The Fountain Group. We are a national staffing firm and are currently seeking a Benefits Specialist for a prominent client of ours. This position is in Plano, TX Details for the position are as follows:

    Job Description:
    • $19-$20/hour based on previous experience.
    • Full-time, on-site 100%, Monday - Friday normal business hours.
    • 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 the practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes, and communication with the insurance company.
    • Coordinates and communicates with other departments as needed to obtain the 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 the status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
    • Applies knowledge of company procedures, and 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.
    Qualifications:
    • 1+ years of experience working within benefits and insurance.
    • Strong data entry, written and oral communication, and computer knowledge, must be proficient with Microsoft Suite, SharePoint, and Outlook.
    • HS Diploma required; bachelor's preferred.
    • Previous experience working with Salesforce or Adobe is a plus.


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