Medical Biller

About the role

As a Benefits Verification Specialist at Xploy Solutions, you will verify medical, workers' compensation, or 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 and use Guided Care software to manage 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 entries and paid time off according to human resources policies.
• Uphold and practice company principles (GUIDE) in work-related interactions.

Requirements

• High school diploma or GED.
• Independent and self-motivated, with the ability to multitask while entering data and engaging in phone conversations.
• Innovative and detail-oriented, with strong research and organizational skills.
• Ability to thrive in a fast-paced, high-pressure environment and collaborate with the team and clients while working autonomously.
• Strong time management and a proven ability to meet deadlines.
• Ability to communicate and exchange information and ideas so others will understand.

Datos clave

• The role verifies medical, workers' compensation, or auto benefit reports for managed care patients.
• A high school diploma or GED is required.
• The role uses Guided Care software to manage client verification requests.