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Verification of Benefits Specialist

Guided Care
locationNew York, NY, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job DescriptionDescription:

Guided Care is seeking a full time Verification of Benefits Specialist to join our Case Management team. Verification of Benefits employees provide a thorough and detailed verification of medical, workers' compensation, or auto benefit reports for both primary and secondary payers for managed care patients in the skilled nursing setting.


Key Results Area

• Makes best efforts to learn and understand the full training provided upon onboarding.

•Actively reviews the queue of benefits for open client requests throughout the day.

•Maintains a full understanding of Guided Care software for managing client verification requests.

•Completes an average of 40 verifications per day at 90 days of hire.

•Completes an average of 50 verifications per day after 180 days of hire.

•Maintains an error rate of less than 2 per month after 180 days of hire.

•Continues to improve on caseload maintaining an average of 65+ per day at 365 days of hire.

•Maintains a turn-around of less than 15 minutes per verification requested by the client.

Requirements:

At least 1 year of Benefits verification experience in a Skilled Nursing Facility; prior experience in a Business office within the SNF setting is ideal.

High School Diploma or GED.

•Independent and self-motivated.

•Ability to multi-task engaging in data entry and phone conversation simultaneously.

•Innovative and detail-oriented professional with strong research and organizational skills.

•Thrives in a fast-paced high-pressure environment.

•Solid collaborative skills with the team and clients and ability to work remotely and autonomously.

•Strong time management with a proven ability to meet deadlines.

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