6 часов назад
Funding Verification Specialist (Healthcare Insurance)
50 000 - 55 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Funding Verification Specialist (Healthcare Insurance): Verifying insurance benefits, evaluating reimbursement and funding options, and supporting device trials and procurement for speech-generating devices with an accent on Medicare, Medicaid, commercial insurance, and DME funding processes. Focus on assessing case viability, resolving coordination-of-benefits issues, documenting compliant patient records, and communicating funding barriers and next steps.
Location: Remote from the United States; travel within the US is required up to two times per year for in-person meetings. Applicants must be authorized to work in the U.S.
Salary: $50,000–$55,000 per year
Company
provides speech-generating devices that support communication, speech, and quality of life for people with communication impairments.
What you will do
- Verify insurance benefits by phone and through online portals.
- Interpret coverage information and determine anticipated client costs and device trial funding options.
- Assess case viability based on reimbursement expectations, payer requirements, funding criteria, and reimbursement likelihood.
- Identify and help resolve coordination-of-benefits issues with patients and care partners.
- Communicate funding decisions, barriers, and recommended next steps to internal teams, patients, and care partners.
- Maintain compliant records, complete sales-related data entry, track recurring issues, and escalate priority concerns.
Requirements
- High school diploma or GED.
- At least 3 years of experience in healthcare, insurance, DME, medical billing, benefits verification, or a related field.
- Experience with Medicare, Medicaid, and commercial insurance.
- Knowledge of insurance plans, funding sources, and DME reimbursement processes.
- Strong documentation, data entry, organizational, communication, critical-thinking, and problem-solving skills.
- Authorization to work in the United States is required; the organization participates in E-Verify.
Nice to have
- Associate's degree or equivalent combination of education and experience.
- Customer service or administrative support experience.
- Experience with Microsoft Office, TrueSight, Inovalon, or HubSpot.
Culture & Benefits
- Work remotely from a home office with reliable and secure internet access.
- Mission-driven, inclusive, and supportive work environment.
- Comprehensive benefits package.
- Opportunities for continuous learning and professional growth.
- Air travel within the US for in-person team meetings and an annual company meeting may be required up to two times per year.
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