Your Job Summary
The Regional Verification Specialist will be responsible to direct the patient benefit activities of the organization, lead / manage each facility’s corresponding team members in maintaining the highest standards in the benefits process for Medicare and Medicaid, ensuring accuracy and overseeing timely and effective responses.
Your Job Responsibilities
- Responsible for communicating efficiently with the facility regarding benefits for Medicare and Medicaid referrals.
- Attains benefit verification for Medicare and Medicaid referrals to ensure facility reimbursement.
- Provide excellent customer service to patients, facility staff, and referral sources.
- Ensure response to internal and external communication timely and accurately.
- Builds repour with the facility staff to obtain any necessary information needed to complete benefit verifications.
- May require contact with MCO’s and Medicare.
- Safeguard all verification documentation for future access.
- Provide facilities with a detailed explanation of benefits.
- Adhere to professional standards as outlined by protocols, rules, and regulations.
- Performs any miscellaneous work assignments as may be required.
- Ensure compliance with all State and Federal laws in relation to your position.
- Manage the Funding Verification Specialist position to ensure therapy fund verifications are completed timely and accurately, also provide training and education.
- Other duties, responsibilities and activities may change or assigned at any time with or without notice.
Your Qualifications
- High School Diploma
- At least two (2) years of work experience.
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A company is looking for a Benefits Verification Specialist to verify patient insurance benefits and facilitate access to healthcare services. ...
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