Job Description
IMAGINE YOURSELF WORKING REMOTELY FOR A MAJOR BIOTECHNOLOGY COMPANY DEEPLY ROOTED IN SCIENCE AND INNOVATION TO TRANSFORM NEW IDEAS AND DISCOVERIES INTO MEDICINES FOR PATIENTS WITH SERIOUS ILLNESS. COME MAKE A DIFFERENCE AND JOIN OUR GROWING TEAM!
JOB TITLE: Benefits Verification Specialist
TEMP TO HIRE
PAY: $23/hr
LOCATION: Remote | Texas Residences Only | Must reside 2 hours from DFW
COVID PREVISIONS: Client policy requires all employees to be vaccinated with Covid-19 vaccines.
SCHEDULE: Hours: 8:30am to 5pm or 10:30am to 7pm CST
JOB DESCRIPTION: The Benefits Verification Specialist assists in enabling access to transformative therapies that improve the health and well being of individuals with treatable diseases. This will frequently involve engaging directly with health care professionals to establish options for financial assistance / reimbursement by navigating complex benefits programs and an increasingly complicated payer landscape across the United States. Of utmost importance are (a) the ability to engage empathetically with diverse stakeholders, (b) a self-starting attitude and ability to problem solve leveraging lessons learned and best practices, and (c) attention to detail and the ability to assure high quality of data integrity when interacting with supporting technologies.
DUTIES AND RESPONSIBILITIES
Taking calls and outreach from health care professionals (HCPs) and entering data into supporting systems to initiate enrollment of new and existing patients
Initiating benefits verification by reviewing patient data and insurance material, including identifying missing information and following up with points of contact to resolve information gaps
Verifying benefits for each assigned patient case and documenting any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements
As applicable, initiating subsequent actions (e.g. prior authorizations, appeals, travel and appointments)
Monitoring and advising on potential delays or pended cases, and identifying and documenting lessons learned and potential leading practices resulting in shorter processing times or higher success rates
As required, supporting new initiatives and process enhancement activities (e.g. end user testing of new system features and supporting technology)
Understanding, and adhering to, government regulations and company policies
THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING PROFILE:
High school diploma or GED, Bachelor’s degree in related field a plus
At least two (2) years of related experience (healthcare related administration, medical coding and billing, customer service, direct benefits verification support, etc.)
Delivering a high quality, empathic customer experience
Leveraging standard office productivity tools (e.g. Microsoft Excel, Word) in day-to-day activities
APPLICATION PROCESS INCLUDES:
Phone & Zoom Interview | Client Interview | Background Check with Employment Verification | Proof of Vaccination required
TO APPLY FOR THIS JOB:
Click the Apply Online button, then:
If you are currently registered with CornerStone Staffing, click the LOG IN button to add yourself as a candidate to this job.
If you are NOT currently registered with CornerStone Staffing, click the CREATE ACCOUNT button to complete the application.
AFTER COMPLETING THE ONLINE APPLICATION, FOR IMMEDIATE CONSIDERATION, YOU WILL NEED TO EMAIL IRVING.RESUME@CORNERSTONESTAFFING.COM TO SCHEDULE A PHONE INTERVIEW WITH A RECRUITER AND PUT "BENEFITS VERIFICATION - REMOTE" IN THE SUBJECT LINE OF YOUR EMAIL.
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Company Description
CornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith. CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!