4/24/15 – Benefits Specialist

Accentuate Staffing is looking for a Benefits Specialist to join our local client in a long-term contract position.  The Benefits Specialist will proactively look at queues to resolve claim issues in order for the patient to receive drugs in a timely manner.  This person will be driven to help and quick to adjudicate claims and resolve any claims rejections.

Responsibilities

  • Accurately adjudicate the claim in a timely manner
  • Verify secondary insurance to insure all resources for the patients are being utilized
  • Resolve claims rejections to successfully adjudicate the claim
  • Accurately adjudicate refills in a timely manner
  • Verify patients in Medicare Part D
  • Benefit Verification of Refills
  • Communicate with providers and other employees regarding patient updates and changes
  • Facilitate prior authorization with insurance companies for patient receiving same day shipments

Requirements

  • Prefer at least 1+ years of experience working and understanding Insurance Verification/Benefits
  • Bachelor’s Degree is preferred
  • Proficiency in Microsoft Applications
  • Excellent Customer Service Skills