Top 16 Benefit verification specialist Jobs in Birmingham Al

Authorization & Verification Specialist - Acute Team
ContinuumRx —Birmingham, AL
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Benefit Verification Specialist- Tue-Sat 11am-8pm
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Birmingham, AL
- 8 hour shift
- CPR Certification
- Computer literacy
- Writing skills
Reimbursement Specialist
California Specialty Pharmacy,LLC —Birmingham, AL
- $23 - $25 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
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Benefit Verification Specialist
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Birmingham, AL
- Urgently hiring
- CPR Certification
- Customer service
- Computer literacy
- Paid time off
Admissions Specialist
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Birmingham, AL
- Full-time
- Customer service
- HIPAA
- High school diploma or GED
- Loan repayment program
- Health insurance
Front Office Associate
Derma Birmingham —Hoover, AL
- $16 - $18 an hour
- Full-time
- OSHA
- HIPAA
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Medical Staff Credentialing Specialist
UAB St. Vincent's —Birmingham, AL
- Monday to Friday
- Hospital
- Research
- Mid-level
- Paid parental leave
- Tuition reimbursement
12d
Retirement Customer Support Specialist
Protective —Birmingham, AL
- $48,000 - $55,000 a year
- Full-time
- Hybrid work
- Research
- Office
- Windows
- Paid parental leave
- Disability insurance
Quick Apply
12d
Medical Receptionist, Full-Time
American Family Care —Irondale, AL
- $16.50 - $19.00 an hour
- Weekends as needed
- Urgent Care
- Entry level
- Health savings account
- Disability insurance
Quick Apply
11d
Provider Data Maintenance Specialist
Associated Care Ventures Inc —Birmingham, AL
- $50,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Maintenance
- Health insurance
- Dental insurance
Quick Apply
14d
Dental Front Desk ( DENTAL EXPERIENCE REQUIRED)
Center Point Dental —Birmingham, AL
- $23 - $25 an hour
- Full-time
- Bilingual
- Dental office
- Customer service
- Dental insurance
- 401(k)
Quick Apply
13d

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Authorization & Verification Specialist - Acute Team

ContinuumRx -
Birmingham, AL

Quick Apply

Job Details

Full-time

Qualifications

Microsoft Word
Microsoft Excel
Overseeing health insurance pre-certification
Serving clients
Presentation software

Full Job Description

Continuumrx is currently recruiting employees in Virginia to support our Acute Authorization and Verification Team!

Job Summary:

The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients.
The primary role of the Authorization Specialist is to review, process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations.

Verification Specialist Roles and Responsibilities:

Verifies benefit coverage and as appropriate, financial responsibility.
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification.
Documents all patient interaction in EMR as a billing note.
Serves as a resource and problem resolution expert for patients, Intake and Sales.
As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Document information in EMR and communicates as appropriate to team members.
Assists with Ready To Bill (RTB) as appropriate.
Performs other duties and special projects, as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

AuthorizationSpecialist Roles and Responsibilities:

Coordinates with the Intake Specialists and the Pharmacy Team to identify and process requests for services requiring Prior Authorization and/or Pre-Determination for services rendered.
Reviews each request for Prior Authorization and insures that the proper supporting documentation and forms/documents are completed.
Processes Prior Authorizations via Fax, computer or phone call as required by the specific payers.
Maintains an organized process for documenting and tracking all requested prior authorizations.
Maintains an organized process for timely follow-up and troubleshooting of all pending Prior Authorizations.
Documents in the patient record all prior authorizations, expiration dates and other information as required.
Communicates with the Revenue Cycle Team and Admission Specialists any prior authorization denials and insures prompt follow-up.
Maintains a process to review newly accepted patients for a “second check” to prevent missing prior authorization requests.
Effectively identify and communicate to supervisor when assistance is needed (including, but not limited to system function, training, etc.).
Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
Understands and provides exceptional customer service to clients, patients, and payers.
Exhibits a positive, courteous, respectful and helpful attitude to clients, co-workers, and management team.
Promotes company culture by adhering to all policies and procedures.
Adapts to and demonstrates the ability to deal with frequent changes in the work environment.
Other tasks/duties as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

Qualifications and Experience:

Required:

2 or more years of experience in healthcare reimbursement with focus on insurance verification and authorizations.
Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required.
Prior work in specialty or home infusion, homecare or related field; preferred but not required.
Strong computer skills (Microsoft Word, Excel, PowerPoint)
Exceptional communication - verbal and written
Exceptional interpersonal skills
Exceptional organizational and process skills
Ability to work well under pressure, meet timelines, and completes assigned projects
Exceptional critical thinking and problem solving skills
Proven performance, history in related field Exceptional attention to detail and demonstrated results
Exceptional track record of customer satisfaction

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benefit verification specialist jobs in birmingham al

Authorization & Verification Specialist - Acute Team

Benefit Verification Specialist- Tue-Sat 11am-8pm

Reimbursement Specialist

Benefit Verification Specialist

Admissions Specialist

Front Office Associate

Medical Staff Credentialing Specialist

Retirement Customer Support Specialist

Medical Receptionist, Full-Time

Provider Data Maintenance Specialist

Dental Front Desk ( DENTAL EXPERIENCE REQUIRED)

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