What are the responsibilities and job description for the Health Benefit Verification Specialist - Remote position at Pomeroy?
Pomeroy is currently seeking a Health Insurance Verification Specialist for a long-term contract opportunity. This is a remote (work-from-home) position so having a solid internet provider and a quiet area to work from is a must!
Prior experience is great - but not required. We offer excellent paid training to motivated candidates! The starting pay rate is $12 per hour with opportunities to advance quickly.
Covid vaccination is not required.
This role is critical in delivering best-in-class service, via outbound calls and emails using excellent verbal and written communications. Our dedicated Health Insurance Verification Specialists deliver accurate, professional, and dependable service to our customers.
You will work Monday thru Friday, daytime hours only, with no weekends or holidays required.
Responsibilities:
- Determination of patient insurance eligibility through electronic submission or manual phone call; contact insurance company to verify insurance eligibility and benefits structure in accordance with standard operating procedures.
- Identification of need for, submitting of, and obtaining of required Insurance Payor Prior Authorizations for treatment, including preparation and submission of payor specific authorization forms and medical necessity documentation. Monitoring of Prior Authorization time periods, queuing of expiring Prior Authorizations for action to obtain Prior Authorization renewals
- Review/data entry of insurance payor eligibility, benefits responses, and Prior Authorization information including setting up of appropriate payor codes in the applicable Medco operating systems.
Requirements:
- Must possess a high school diploma and 6-18 months’ work experience in a customer service or call center environment.
- Excellent written and oral communication skills.
- Proficiency with computers & good typing skills.
- Detail-oriented with a focus on accuracy.
- Ability to multitask.
- Handle data effectively.
- Ability to meet deadlines.
- Resilience and flexibility coupled with drive and persistence.
- Interpersonal Skills and Teamwork.
Job Types: Full-time, Contract
Pay: From $12.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No weekends
Work Location: Remote
Salary : $12 - $0
