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Benefit Verification Specialist role working with Patient Intake Coordinators and insurance providers to verify coverage for in-home Enteral therapy for Coram's patients. Responsible for verifying insurance coverage and obtaining prior authorization information for both new and existing patients.
Job Responsibility:
Complete and document benefit verification review
Provides information on Enteral home infusion services
Comply with and adhere to all regulatory compliance areas, policies, and procedures, and 'best practices'
Coordinate with the Patient Intake Coordinators for new and existing accounts
Investigate type and level of insurance coverage to assess patient eligibility for the program
Communicate with medical professionals and insurance company personnel
Complete data enter in ACIS to ensure accuracy of reporting and outcomes
Provide input on self reviews
Assist less experienced peers
Requirements:
Minimum 1 year experience working in a customer service or call center environment
Data entry experience
Working knowledge in Microsoft Office, specifically Outlook and Word
Verifiable High School Diploma or GED
Nice to have:
Home infusion or durable medical equipment (DME) experience
Experience work in a healthcare environment
Experience verifying benefits with insurance companies
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