Benefits Support Specialist

🕒 il y a 1 mois

🌵 Arizona, California, +24 états de plus – Distant

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $17 - $19 / heure

⏰ Temps Plein

🟢 Junior

💝 Support Client

🚫👨‍🎓 Aucun diplôme requis

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Phil, Inc.

Site WebLinkedInTous les Emplois

51 - 200 employés

⚕️ Assurance santé

☁️ SaaS

🧬 Biotechnologie

Healthcare Insurance • SaaS • Biotechnology

Phil, Inc. est une entreprise dont la mission est de simplifier l'accès aux médicaments pour les patients en les aidant à recevoir leurs médicaments rapidement, facilement et à moindre coût. L'entreprise propose la plateforme PhilRx Digital Hub, qui simplifie l'accès aux médicaments pour les patients et les prestataires, en soutenant les fabricants de produits de détail et de spécialité légère. La plateforme de Phil, Inc. est conçue pour améliorer les résultats de santé en éliminant les obstacles et en assurant une délivrance efficace des médicaments, en optimisant la couverture et l'adhésion des patients, et en soutenant les prestataires de soins de santé. Grâce à des partenariats stratégiques, Phil, Inc. aide à maximiser la valeur des programmes d'accès pour les marques des sciences de la vie, en améliorant l'accès des patients et l'engagement des prestataires.

Description

• Place outbound calls to insurance carriers and navigate payer phone systems to reach eligibility and benefits representatives • Verify active coverage and obtain detailed benefits information including deductibles, copays, coinsurance, out-of-pocket maximums, prior authorization requirements, and in/out-of-network benefit levels • Accurately document all information obtained during each call, including reference numbers, representative names, and call timestamps • Interpret call outcomes and apply decision criteria to move each case to the correct next step in the workflow (e.g., eligible for services, requires prior auth, inactive/terminated coverage, patient financial responsibility assessment, denial routing) • Identify discrepancies between payer-reported benefits and information on file and escalate appropriately • Meet daily productivity and quality standards for call volume and documentation accuracy • Maintain working knowledge of common insurance terminology, plan types (HMO, PPO, EPO, HDHP), and payer-specific requirements

🎯 Exigences

• 1+ years of experience in medical billing, insurance verification, or a related healthcare administrative role • Minimum 1 year of customer support experience (call center experience is preferred). • Familiarity with insurance benefits terminology and payer communication processes, • Strong attention to detail and ability to accurately transcribe information in real time with low/no errors • Ability to independently assess call outcomes and apply routing logic without constant supervision • Comfortable with high call volumes and navigating automated payer phone systems • Proficiency with EHR/practice management software or equivalent case management systems • Must have a good understanding of computers, hardware, networks, etc. • Adaptable to swift changes • Open to giving and receiving feedback graciously and professionally

🏖️ Avantages

• Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV • Competitive compensation (commensurate with experience) • Full benefits (medical, dental, vision) • 401(k)