Remote Benefit Verification specialist

Job Description

Job Description

Training Hours: 8:30a - 5:30p (EST) Monday - Friday

Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance companies to verify patient specific benefits for programs we administer. 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.

PRIMARY DUTIES AND RESPONSIBILITIES:
1. Reviews all patient insurance information needed to complete the benefit verification process.
2. Triages cases with missing information to appropriate program associate.
3. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
4. Identifies any restrictions and details on how to expedite patient access.
5. Could include documenting and initiating prior authorization process, claims appeals, etc.
6. Completes quality review of work as part of finalizing product.
7. Reports any reimbursement trends/delays to management.
8. Performs related duties and special projects as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate's degree program, technical vocational training, or equivalent combination of experience and education.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
1. Proficient Windows based experience including fundamentals of data entry/typing
2. Working knowledge of Outlook, Word, and Excel
3. Strong interpersonal skills and professionalism
4. Independent problem solver, good decision maker, and robust analytical skills
5. Strong attention to detail
6. Effective written and verbal communication
7. Familiarity with verification of insurance benefits preferred
8. Attention to detail, flexibility, and the ability to adapt to changing work situations.
9. Strong customer service experience

PHYSICAL AND MENTAL REQUIREMENTS:

1. Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing.
2. Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus.
3. 75% or more time is spent looking directly at a computer.
4. Ability to deal with stressful situations as they arise.

\nCompany Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job.

MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Company Description

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r\n\r\n We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r\n\r\n MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r\n\r\n We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at \r\n\r\n Benefits with MMC Group\r\n MMC offers health insurance plans for our active candidates on assignment, including:\r\n\r\nMedical, dental, and vision coverage\r\nLife and disability insurance\r\nAdditional voluntary benefits\r\n\r\n\r\n Join MMC and enjoy the support of a team that values your well-being, both on and off the job.\r\n\r\n MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.\r\n\r\n Get started on your career journey today! Apply to become a part of the MMC Team!\r\n\r\n We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.