Medical Specialist

In the role of Benefits Verification Specialist, employees provide a thorough and detailed verification of medical, workers' compensation, or auto benefit reports for both primary and secondary payers for managed care patients. The Verifications Specialist reports to the Director of Verifications.
Key Results AreaMakes best efforts to learn and understand the full training provided upon onboarding.Actively reviews the queue of benefits for open client requests throughout the day.Maintains a full understanding of Guided Care software for managing client verification requests.Completes an average of 65 verifications per day at 90 days of hire.Completes an average of 85+ verifications per day after 120 days of hire.Maintains an error rate of less than 2 per month after 120 days of hire.Continues to improve on caseload maintaining an average of 65+ per day at 365 days of hire.Maintains a turn-around of less than 15 minutes per verification requested by the client.Participate in 1:1 meeting with leadership monthly.Collaborates with colleagues, helping and handling additional verification from the team’s pool during downtime or a lull in individual caseload.Communicates respectfully with colleagues and leadership.Responds to all client’s requests via email by EOD.Maintains 100% attendance.Maintains time clock, requests, and takes PTO according to HR policies.Agree to uphold and practice company principles(GUIDE) in all work-related interactions.
Requirements:High School Diploma or GED.Independent and self-motivated.Ability to multi-task engaging in data entry and phone conversation simultaneously.Innovative and detail-oriented professional with strong research and organizational skills.Thrives in a fast-paced high-pressure environment.Solid collaborative skills with the team and clients and ability to work remotely and autonomously.Strong time management with a proven ability to meet deadlines.Ability to communicate and exchange information and ideas so others will understand.Demonstrate discretion, sensitivity, and ability to maintain confidentiality.Ability to establish and maintain positive relationships.