Verification of Benefits Specialist

Prairiecare

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Job description

What You’ll Do
• Verifying insurance coverage and benefits for potential admissions using systems like Availity and Verify TX, and reaching out to payers when necessary.
• Capturing thorough and accurate information for each verification of benefits (VOB).
• Inputting insurance data into SalesForce with precision.
• Communicating professionally and courteously over the phone.
• Collaborating with team members to streamline efforts and avoid duplication.
• Running biweekly reports on current census insurance coverage.
• Triage urgent VOBs as directed by the admissions management team.

What Makes You a Great Fit
• At least 2-3 years of insurance experience required, in Verification of Benefits; to include active, valid policy coverage, specific services covered, payment percentages, co-pays, deductibles, and authorization requirements under the specific plans.
• Light billing & collections experience preferred and helfpul.
• Experience in Behavioral Health settings preferred.

Additional Details
Excellent Full-Time-Remote position for an experienced Verification of Benefits Specialist. Prior experience of in-depth Verification of Benefits required and within Behavioral Health preferred.
• Verifying insurance coverage and benefits for potential admissions using systems like Availity and Verify TX, and reaching out to payers when necessary.
• Capturing thorough and accurate information for each verification of benefits (VOB).
• Inputting insurance data into SalesForce with precision.
• Communicating professionally and courteously over the phone.
• Collaborating with team members to streamline efforts and avoid duplication.
• Running biweekly reports on current census insurance coverage.
• Triage urgent VOBs as directed by the admissions management team.

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