Verification of Benefits & Referral Coordinator
Position Overview
Benefits Verification Specialists play a crucial role in providing patients access to the medications and therapies they need by contacting insurance companies to verify patient-specific benefits for programs we administer. Verification of Benefits Specialist will contact insurance companies, on behalf of Vero Orthopaedics, to verify patient-specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patients' benefits and complete data entry and/or appropriate forms to document patients' benefits coverage. This person must be well organized, flexible, and enjoy the challenges in a fast-paced growing company.
- Review all patient insurance information needed to complete the benefit verification process minimum of once a month.
- Verify patient-specific benefits and precisely document specifics for various payer plans including patient coverage, cost share, access/provider options, and referral requirements.
- Verification process could include electronic validation of pharmacy coverage and medical eligibility.
- Identify any restrictions and details on how to expedite patient access.
- Work in a fast-paced office environment.
- Work requires focus, flexibility, and the ability to adapt to changing work situations.
- This position requires that the Associate be seated most of the day.
- Perform related duties and special projects as assigned.
Qualifications/Skills
- Proficient Windows-based experience including fundamentals of data entry/typing.
- Working knowledge of Outlook, Word, and Excel.
- Strong interpersonal skills and professionalism.
- Independent problem solver, good decision maker, and robust analytical skills.
- Strong attention to detail.
- Effective written and verbal communication.
- Attention to detail, flexibility, and the ability to adapt to changing work situations.
- Strong attention to detail.
Education, Experience, and Licensing
- High school diploma or equivalent (preferred).
- Preferred experience in medical office administration, benefit verification, or customer service at an insurance company.
- Familiarity with verification of insurance benefits preferred.
- Strong customer service experience.
Competencies
- Integrity: Job requires being honest and ethical.
- Analytical Thinking: Job requires analyzing information and using logic to address work-related issues and problems.
- Attention to Detail: Job requires being careful about detail and thorough in completing work tasks.
- Dependability: Job requires being reliable, responsible, and dependable and fulfilling obligations.
- Stress Tolerance: Job requires accepting criticism and dealing calmly and effectively with high-stress situations.