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Benefits Verification Specialist

Monroeville, PA | Contract to Hire

Post Date: 08/30/2017 Areas of Expertise: Call Center & Office Pay Rate: $17/hr

Contemporary Staffing Solutions is currently seeking experienced Reimbursement Counselors for a Contract to Hire opportunity in Monroeville, PA.

Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits.  The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.

Responsibilities of the Reimbursement Counselor: 

  • Collects and reviews all patient insurance information needed to complete the benefit verification process.
  • Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.
  • Verification process could include electronic validation of pharmacy coverage and medical eligibility.
  • Identifies any restrictions and details on how to expedite patient access.
  • Document and initiate prior authorization process, claims appeals, etc. 
  • Complete quality review of work as part of finalizing product.
  • Report any reimbursement trends/delays to supervisor.
  • Perform related duties and special projects as assigned.
  • Ability to work in a fast-paced office environment.
  • Work requires focus, flexibility, and the ability to adapt to changing work situations.

Requirements of the Reimbursement Counselor:

  • High School diploma or GED 
  • Proficient Windows applications
  • Working knowledge of Microsoft Outlook, Word, and Excel
  • Strong oral and written communication
  • 2+ years directly related and progressively responsible experience and/or college degree
  • Experience in medical office administration, benefits verification, coding, claims processing or customer service at an insurance company a plus
  • Broad experience/training may be considered in fields such as case management, social services and pharmacy technician
  • Familiarity with verification of insurance benefits a plus
  • Fundamental understanding of key payers including Medicaid, Medicare and private payers
  • Strong customer service experience

If you or someone you know is interested, please email resumes to Abby

Abby Murphy

Abby has been helping talented job seekers find their ideal position for over 3 years. She places human resources, accounting/finance, and office/call center professionals in dynamic and rewarding roles nationwide. Abby is always excited to assist top candidates start - or continue - their career!
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