Insurance Verification Specialist

About the role

At Xploy Solutions, the Benefits Verification Specialist verifies medical, workers' compensation, and auto benefit reports for primary and secondary payers for managed care patients. The role 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.
• Use Guided Care software to manage client verification requests.
• Complete an average of 65 verifications per day at 90 days of hire and an average of 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 one-on-one meetings with leadership.
• Help colleagues by handling 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 paid time off requests according to human resources 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 conversations simultaneously.
• Innovative and detail-oriented, with strong research and organizational skills.
• Thrives in a fast-paced, high-pressure environment.
• Strong collaboration 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...

Datos clave

• High school diploma or GED required.
• Verifies medical, workers' compensation, and auto benefit reports for managed care patients.
• The role reports to the Director of Verifications.