Verification of Benefits Specialist

Our client, a leading healthcare organization specializing in medical services and patient care, is seeking a Verification of Benefits Specialist to join their team. As a Verification of Benefits Specialist, you will be part of the Medical Support Department supporting the Claims and Authorization Team. The ideal candidate will have strong organizational skills, excellent communication abilities, and a proactive approach, which will align successfully in the organization.

Job Title: Verification of Benefits Specialist

Location: Plano, TX

Pay Range: $20-21/ hr

What's the Job?

• Assist with multiple levels of appeal in the event of initial coverage denial.
• Forward authorized confirmation for procedures to designated patient providers.
• Manage multiple cases simultaneously within specific time frames.
• Verify benefits and complete authorization requests promptly.
• Train patients and their designated providers on pre-authorization processes and requirements, in person or by phone.

What's Needed?

• Associate degree in Nursing/Home Health (LVN/LPN) or related field required.
• Minimum of 2+ years experience in a utilization (medical approval) environment or similar work experience.
• Knowledge of private insurance, Workers Compensation, and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review.
• Proficient with Microsoft Office (Word & Excel specifically).
• Excellent verbal and written communication skills.

What's in it for me?

• Opportunity to work within a dynamic healthcare team dedicated to patient care excellence.
• Engage in meaningful work that impacts patient outcomes and healthcare efficiency.
• Collaborate with a diverse and inclusive team environment.
• Gain valuable experience in medical billing and insurance processes.
• Be part of a supportive organization committed to professional growth.

Upon completion of waiting period consultants are eligible for:

• Medical and Prescription Drug Plans
• Dental Plan
• Vision Plan
• Health Savings Account
• Health Flexible Spending Account
• Dependent Care Flexible Spending Account
• Supplemental Life Insurance
• Short Term and Long Term Disability Insurance
• Business Travel Insurance
• 401(k), Plus Match
• Weekly Pay

If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!

About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells.

ManpowerGroup (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands Manpower, Experis, Talent Solutions, and Jefferson Wells creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent.