Job Title: Benefits Verification Specialist - Remote

Work Schedule:  Full-Time office hours are generally M-F, 8:00 AM to 5:00 PM, with overtime as needed. 

Employment Classification: Non-exempt, Hourly 

Status: Full-Time Remote

Position Summary

The Benefits, Eligibility, & Authorizations Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of his/her manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Summary of Duties and Responsibilities

• Research and Provide patients with estimated out of pocket cost for Immunotherapy/Durable Medical Equipment while documenting all information in the EMR.
• Obtain Authorizations for DME Setup
• Communicate and work closely with Expert Sleep Division staff daily. 

Requirements

Abilities, Knowledge and Skills

Effective communication skills to include: 

1. Ability to fluently speak and read English 
2. Ability to read and interpret documents such as safety rules, handbooks, policies and manuals 
3. Ability to communicate effectively, verbally and written, with all levels of staff and patients

Education, Prior Work Experience, Special Skill and Knowledge Requirements

High School Diploma

1 year medical billing office experience preferred

Basic computer skills-must have knowledge in Excel

Knowledge of Availity and Navinet preferred

Understanding of deductibles, copays, coinsurance, etc. 

Excellent customer service 

Well organized with an ability to meet deadlines

Detail oriented

Strong verbal and written communication skills

Ability to multi-task and work in a fast-paced environment

Strong analytic and problem-solving skills

Physical Demands and Work Environment

Physical Demands

The physical demands described, here, are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands. 

1. While performing the duties of this job, the employee is required to use hands to handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear. 
2. The employee frequently is required to stand, walk, stoop, kneel, crouch, reach, push, pull, bend and sit. On average, billing staff may be sitting 80% of their shift.
3. The employee must occasionally lift and/or move up to 30 pounds. 
4. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. 
5. Specific communication abilities required by this job include the ability to talk and hear in order to converse with others, discern, convey, express oneself, and exchange information. 

Work Environment

The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. 

1. The noise level in the work environment is usually moderate; lighting is in the standard range. 
2. The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases and conditions. 

EEOC Compliance

Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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