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Financial Specialist

Virtual Vocations Inc

To support the resolution of Coordination of Benefits (COB) denials, the full-time Member Financial Specialist will manage complex eligibility and coverage issues, educate members about their benefits, and ensure accurate updates to member accounts while working onsite or remotely. Key responsibilities Investigate and resolve COB denials through direct communication with insurance carriers and members Update member accounts with verified insurance data and notify members of any changes in benefits or financial responsibilities Perform routine and ad-hoc reporting to identify trends in COB denials and coverage discrepancies Required qualifications Bachelor's degree or equivalent combination of education and experience required Minimum of 2 years of direct patient-facing experience in patient access, financial counseling, or utilization management; experience in SUD/Behavioral Health strongly preferred Strong working knowledge of commercial, Medicare, and Medicaid behavioral health/SUD plans Experience communicating directly with payers and navigating insurance organizations Access to reliable internet and phone services with specified minimum speeds for remote work

Vacancy posted 4 days ago
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