Healthcare Specialist

About the role

Xploy Solutions is seeking a Benefits Verification Specialist. The role provides detailed verification of medical, workers' compensation, or auto benefit reports for primary and secondary payers for managed care patients. The Verifications Specialist reports to the Director of Verifications.

Responsibilities

• Learn and understand the training provided upon onboarding.
• Review the queue of benefits for open client requests throughout the day and manage client verification requests using Guided Care software.
• Complete an average of 65 verifications per day at 90 days of hire and 85 or more per day after 120 days of hire.
• Maintain an error rate of less than 2 per month after 120 days of hire and an average of 65 or more verifications per day at 365 days of hire.
• Maintain a turnaround of less than 15 minutes per verification requested by the client.
• Participate in monthly 1:1 meetings with leadership.
• Help colleagues and handle additional verifications from the team's pool during downtime or a lull in individual caseload.
• Communicate respectfully with colleagues and leadership, and respond to all client requests by email by the end of the day.
• Maintain 100% attendance and manage time clock and PTO requests and use according to HR policies.
• Uphold and practice company principles (GUIDE) in all work-related interactions.

Requirements

• High School Diploma or GED.
• Independent and self-motivated.
• Ability to multitask, engaging in data entry and phone conversation simultaneously.
• Innovative and detail-oriented, with strong research and organizational skills.
• Thrives in a fast-paced, high-pressure environment.
• Collaborative skills with the team and clients, and ability to work autonomously.
• Strong time management and a proven ability to meet deadlines.
• Ability to communicate and exchange information and ideas so others will...

How to apply

Postúlate directamente en CazVid.

Datos clave

• The role verifies medical, workers' compensation, or auto benefit reports for managed care patients.
• Requires a High School Diploma or GED.
• Uses Guided Care software to manage client verification requests.