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Urgently hiring an insurance verification specalist for a well known medical office in Fresno, CA!

Will become hybrid 3 days WFH!!!

Description

Job Description

The Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. 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.

Responsibilities/Essential Functions (other duties as assigned):

• Collects and reviews all patient insurance information needed to complete the benefit verification process.

• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.

• Verification process could include electronic validation of pharmacy coverage and medical eligibility.

• Identifies any restrictions and details on how to expedite patient access.

• Could include documenting and initiating prior authorization process, claims appeals, etc.

• Completes quality review of work as part of finalizing product.

• Reports any reimbursement trends/delays to supervisor.

• Performs related duties and special projects as assigned.

• Ability to 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.

Skills

Medical Billing, EOB, insurance claim, Prior authorization, Insurance coverage, Health insurance, insurance verification, Medical Terminology, eligibility

Additional Skills & Qualifications

Education:

• High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree.

• Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus

• Broader experience/training may be considered in fields such as case management, social services and pharmacy technician.

• Familiarity with verification of insurance benefits a plus.

• Fundamental understanding of key payers including Medicaid, Medicare and private payers

• Strong customer service experience

Pay and Benefits

The pay range for this position is $21.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Fresno,CA.

Application Deadline

This position is anticipated to close on Feb 20, 2025.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.