Senior Benefits Verification Associate

2 hours ago
Full-time
Mid Level
Operations
BAYADA Home Health Care

BAYADA Home Health Care

BAYADA Home Health Care provides trusted clinical care and support services at home for all ages, offering 24/7 care with compassion, excellence, and reliability.

Health Care Providers & Services
10K-50K
Founded 1975

Description

  • Verify eligibility, coverage, deductibles, copays, limitations, exclusions, maximums, and billing information for referrals.
  • Communicate coverage issues, client eligibility changes, policy updates, and out-of-pocket costs to service offices and coordinators.
  • Complete timely eligibility checks and recurring or ad hoc benefit reconfirmations.
  • Enter plan information and post benefit confirmations to service offices.
  • Collect and submit payer forms and eligibility documentation required for billing and coordination of benefits.
  • Confirm service office credentialing and insurance contracts.
  • Document benefit and billing information accurately in designated systems.
  • Resolve inaccurate benefit information provided by insurance representatives.
  • Notify collections of billing changes, update bill-to numbers, and address billing questions.
  • Provide benefit information support to offices and mentor or educate team members as needed.

Requirements

  • Four-year college degree.
  • Two to four years of relevant experience with increasing responsibility, including at least one year of benefits experience.
  • Managed Medicare and Managed Medicaid experience.
  • Proficient knowledge of insurance benefits and contracts.
  • Prior healthcare or home care experience preferred.
  • Strong interpersonal, customer service, telephone, and relationship-building skills.
  • Ability to work independently, stay motivated, adapt, and manage competing priorities.
  • Strong analytical, problem-solving, judgment, multitasking, and organizational skills.
  • Demonstrated record of meeting or exceeding goals and commitment to quality.
  • Strong PC skills and professional demeanor; alignment with BAYADA’s values of compassion, excellence, and reliability.

Benefits

  • Remote work opportunity.
  • Full-time schedule of 8:30 a.m. to 5:00 p.m. EST.
  • Base pay of $24.00–$27.00 per hour, depending on qualifications.

Interested in this position?

Apply directly on the company website

Apply Now

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