VOB Specialist - PCP

VOB Specialist - PCP

Location: Lake Mary, FL

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 6 months
• Pay Rate: $21.37 / Hour (USD)
• Shift / Schedule: Monday – Friday, 8:00 AM to 5:00 PM
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job Summary

As theVerification of Benefits Specialist, you'll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed.

Key Responsibilities

• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral, and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow-up activities for an outcome.
• Files Appeals for denied coverage with 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 insurance companies.
• Coordinates and communicates with other departments as needed to obtain 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 status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
• Applies knowledge of company procedures, 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.
• Performs other related duties as assigned.

Required Skills

• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
• Understand the process for verification of benefits or collections as it relates to the policies and procedures for effective placement of medical services.
• Complete Understanding of Medicare Rules and Regulations.
• Understanding of Managed Care as it relates to benefits and authorizations.
• Advanced MS Office experience, with an emphasis on MS Excel desired.
• Continued self-improvement courses & seminars related to position along with "In-house" programs provided by the client.

Preferred Skills

• Knowledge in Medical Insurance.
• Knowledge in Contracting and Fee Schedules.
• Strong Computer/Software Skills.

Education Requirements

• High school diploma or GED required.
• Associate's degree preferred.

Required Experience

• Preferred: two or more years' experience, but a minimum of 1 year of experience is required in insurance benefits verification and/or collections and/or managed care contracting.

Work Environment / Physical Requirements

• Must be able to work at a computer workstation for extended periods of time.

Important Notes

• This is not a customer service role. This is a Verification of Benefits role — candidates must have prior authorization/verification experience.
• Selected candidate will start ASAP after screenings have cleared.

Benefits

• Medical, Vision, and Dental Insurance Plans
• 401k Retirement Fund

About the Client

This leadinghealthcare innovator is dedicated to improving lives worldwide through a diverse portfolio of medical devices, diagnostics, and nutrition products, with operations spanning more than 160 countries. Over more than 140 years, the organization has developed life-changing technologies across cardiovascular care, diabetes management, diagnostic testing, nutrition, and neuromodulation — with recognized brands that millions of people rely on every day. The company employs biomedical engineers, clinical scientists, regulatory affairs specialists, and commercial operations professionals, and is a certified Great Place to Work with 80 percent of employees affirming it as a great workplace, well above the national average.

About GTT

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.

Job Number: 26-17331