Funding Verification Specialist

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🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $50k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Lingraphica

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Lingraphica is a company that provides advanced augmentative and alternative communication (AAC) devices and applications designed to help individuals with communication challenges. Their products include devices like TouchTalk, TouchTalk Plus, and MiniTalk, which facilitate communication and speech improvement. Lingraphica also offers therapy apps for conditions like aphasia and other communication impairments, providing resources like educational webinars and clinical guides. With extensive insurance coverage, they ensure accessibility and support for users and caregivers to try and utilize their devices effectively. The company aims to empower users to improve their quality of life through enhanced communication abilities.

📋 Description

• Acquire insurance benefit coverage via phone or online portal • Interpret benefit coverage information to determine anticipated client costs • Evaluate the accuracy, completeness, and reliability of insurance benefit information • Assess case viability based on reimbursement, payor requirements, funding criteria, and reimbursement likelihood • Determine device trial funding options based on patient insurance coverage • Identify and resolve potential coordination of benefits issues • Review benefits for accuracy prior to sale • Communicate funding determinations, barriers, and next steps to internal teams, patients, and care partners • Maintain accurate and compliant documentation and patient records according to HIPAA and Medicare guidelines • Communicate potential issues and concerns to team members • Track and trend issues to support resolution and prevention of repeat problems • Complete data entry and administrative functions associated with sales activities • Identify and escalate priority issues and follow up on tasks • Perform other duties and special projects as assigned

🎯 Requirements

• High School Diploma or GED, required • 3 years of healthcare, insurance, DME, medical billing, benefits verification, or related experience, required • Experience with Medicare, Medicaid and Commercial insurance, required • Knowledge of insurance plans, funding sources, and DME reimbursement processes • Strong data entry, documentation, organizational, and attention-to-detail skills • Ability to gather information, conduct research, and resolve issues effectively • Effective verbal and written communication skills • Compassion for individuals with disabilities, including clients with speech impairments • Ability to build rapport and maintain professionalism with clients, caregivers, providers, and internal stakeholders • Strong critical thinking, problem-solving, risk assessment, and decision-making skills • Ability to exercise independent judgment and escalate complex or high-risk situations • Ability to manage multiple priorities in a fast-paced, process-driven environment • Ability to adapt to changing priorities, processes, and business needs • Accountability, follow-through, initiative, and ownership of assigned work • Associate's degree or equivalent combination of education and experience, preferred • Experience in customer service and/or administrative support, preferred • Experience with Microsoft Office, TrueSight, Inovalon, or HubSpot, preferred • Reliable and secure internet access for remote work • Must be authorized to work in the U.S.

🏖️ Benefits

• Remote work from a home office • Comprehensive benefits package • Travel by air up to 2 times per year within the US for in-person team meetings and an all-company meeting • Reasonable accommodations for individuals with disabilities • Inclusive and supportive workplace • Fair and equitable compensation practices • Commitment to career growth