Verification of Benefits Specialist at The Fountain Group

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 75024 . 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.