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Verification of Benefits Representative

Company: Sierra Health and Wellness Centers
Location: Sacramento
Posted on: January 15, 2022

Job Description:

Verification of Benefits Representative II-Duties and Responsibilities: Description: The Verification of Benefits (VOB) Specialist is responsible for contracting insurance companies to verify patient insurance coverage. The VOB Specialist ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor. The VOB Specialist is responsible for updating patient benefit information in the company insurance system and verifying that existing information is accurate. They are also responsible for providing back up support to re-direct incoming calls.Supervisory Responsibilities:NoneDuties and Responsibilities:Compiles medical insurance verification of benefit and eligibility information submitted by client for processing within contracted timelinesEnsures verification of benefit and eligibility information obtained from payer/insurance company is accurate Inability to obtain a verification of benefit or incomplete information is reported to manager immediatelyResponsible for maintaining a system for initial and subsequent verification of benefitsResponsible for daily reporting of verification of benefit activitiesPrepares and maintains individual patient file, and documentationKeeps supervisor apprised of matters regarding verification of benefitsAlways represents the company in a professional mannerKeeps current with third-party/payers guidelinesMaintain high-integrity and honestyAnswer overflow calls and direct calls to appropriate partysEffectively communicate with the admissions teams in the process of handing off the potential admissionParticipate in trainings and development programsPerforms other duties and tasks as requiredPhysical Requirements:Prolonged periods of sitting at a desk and working on a computer.Must be able to lift to 25 pounds at timesRequired Skills:Knowledge of industry standardsBasic knowledge of Microsoft Word and Microsoft Excel Written and communication skills Ability to represent the program well in interactions both inside and outside the company.Education and Minimum QualificationsHighschool Diploma or GEDCustomer Service skillsAttention to detailTime management Strong oral and written communication skillsMaintain confidentiality Proficient in Microsoft word and Microsoft ExcelPM21Powered by JazzHRPI158691685

Keywords: Sierra Health and Wellness Centers, Sacramento , Verification of Benefits Representative, Other , Sacramento, California

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