PrideStaff | Job Details

Job Details

« Back to Search Verification of Benefits Representative
Livermore, CA

Salary: 16.00
Date Posted: November 3, 2017
Job Type: Temporary to Hire
Job ID: 276781

Job Description

Partner with PrideStaff where we work for you!

PrideStaff is a national staffing organization with branches across the U.S. – each office locally-owned and plugged into the community. We get to know you and proactively advocate on your behalf with leading employers. Our goal is to see you succeed!

We are seeking highly skilled, enthusiastic and energetic Verification of Benefits Representatives for our client in Livermore. If you are seeking a great Career Opportunity, please apply now!!

Position Summary

The VOB Representative is responsible for verifying the insurance coverage and eligibility for PT/INR Home Testing patients in order to determine how much their insurance(s) will cover for the services provided by the company. Obtain appropriate authorizations for purchase or service from insurance companies for INR equipment and testing supplies. 

PRINCIPAL RESPONSIBILITIES

Contact insurance companies to verify coverage status of patient benefits. 
Files pre-authorizations for patients with insurance companies and provide follow up as needed. 

Process supply orders. 
Maintains accurate patient information in relevant data management systems. 
Provides patients with information regarding their order status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting payments for co-pays for supply orders, if applicable. 

Gathers all necessary additional medical records as requested by insurance companies. 

Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments. 

EDUCATION/EXPERIENCE 

Prior medical insurance authorization experience preferred. 
One to two years data processing experience preferred, 
One to two years customer service or provider relations experience preferred 
Associate degree or equivalent with a minimum of three years relevant working experience. 

COMMUNICATION SKILLS 

Position requires heavy telephone contact with program providers and participants (up to 90%). Excellent interpersonal and phone etiquette skills. Ability to provide superior customer service and meet customer satisfaction expectations. 

Organization/Time Management Skills.
Interpersonal Skills.
Excellent oral and written communication skills. 
Detail oriented with a focus on exceptional customer service. 

TECHNICAL SKILLS 

Basic Excel, Word and Outlook experience required. 
Demonstrates proficiency and accuracy using company data management systems which are directly related to the specific job function. 
Strong Computer/Software Skills. 

PHYSICAL REQUIREMENTS 

Perform some repetitive motion activities. 
Sit for long periods of time. 
Requires close vision and the ability to adjust eye focus often. 

SKILLS/EDUCATION 

High school diploma 

Call center experience, Medical benefit experience, Healthcare experience, Insurance experience.

• Medical insurance experience 
• Medical terminology background 
• Customer Service skills (similar to call center) 

Benefits

At Pridestaff, we recognize and appreciate our team member’s hard work and enthusiasm! Therefore, we are proud to offer the Customer Service Representative a comprehensive benefits package!

Benefits package as a placed Field Associate include:

  • Medical, Rx, and Wellness Benefits
  • Dental and Vision Plan Options
  • Sick Pay
  • Holiday Pay