福利验证助理（行为学）
Verification of Benefits Assistant (Behavioral)
这是一个远程职位。
请注意，这是一份全职工作。
职位亮点：
· 合同类型：独立承包商
- 夜班时间表：周一至周四 - 纽约时间上午8:45至下午5点（马尼拉时间晚上8:45至凌晨5点）
- 周五 - 纽约时间上午8:45至下午3:45（马尼拉时间晚上8:45至凌晨3:45）
协助VOB团队成员履行职责，根据其保险情况快速准确地确定患者对Spravato服务的福利资格，并根据付款人的要求准备适当的授权表格。
主要职责：
· 通过电子邮件和客户特定应用程序等多种方式跟进福利请求。
- 福利检查应在一小时内完成。
- 熟悉用于验证福利的方法，如保险门户、承运商门户、通用门户或拨打承运商电话。
- 检查所请求保险患者的文档流程。
- 跟进需要检查的详细项目，根据具体客户在各种系统中更新信息。
- 每月检查资格，确保给定患者仍处于给定计划中，并根据具体客户了解各种系统中的结果。
- 如果计划已更改和/或终止，完成特定流程。
- 完成付款人要求的授权请求表格。
核心价值观：我们根据这些核心价值观和与职位相关的绩效进行招聘/解雇/晋升。1. 尊重我们独特的文化环境 2. 绝对保密 3. 拥抱团队合作 4. 忠诚的行为和积极的态度 5. 责任感 6. 主动性 7. 严谨性 8. 以结果为导向 9. 持续学习和成长的动力 10. 致力于通过公司的“独特服务导向哲学”为客户提供的顶级服务
要求
- 两年制大学学位
- 在美国医疗账单实践中有两年经验，或在处理账单的医疗实践中工作两年，包括但不限于提供者认证、授权、报销等，最好在行为健康领域有一定经验
- 必须有备用电源（额外笔记本电脑/充电宝/发电机/UPS）
- 注重细节，具备高于平均水平的组织能力
- 能够计划和优先安排以满足截止日期
- 出色的口头和书面沟通能力
- 能清晰有效地沟通
- 出色的阅读理解能力
- 出色的计算机技能，包括Microsoft程序等
查看英文原文
This is a remote position.
Please note that this is a FULL-TIME role.
Job Highlights:
· Contract type: Independent Contractor
- Night Shift Schedule:Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
- Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)
Assist the VOB team members in meeting their responsibility to quickly and accurately identify patients' benefit eligibility in relation to Spravato services according to their insurance and prepare appropriate Authorization Forms as required by the payer.
Key Responsibilities:
· Stay on top of benefits requests through various methods such as email and client-specific applications.
- Benefits checks should be completed within an hour.
- Know method used to verify benefits such as insurance portals, carrier portals, general portals, or calling into carriers.
- Check the process of documentation on requested insurance patients.
- Follow through detailed items that need to be checked, update information in the various systems according to specific client.
- Check monthly on eligibility to ensure that the given patient is still active with the given plan and know results in various systems based on specific clients.
- Complete specific process if a plan has been changed and/or terminated.
- Complete authorization requests Forms requested by payor.
Core Values:We hire/fire/promote based on these core values + job-specific performance. 1. Respectful of our unique cultural environment2. Absolute confidentiality
3. Embracing teamwork 4. Loyal behavior and positive attitude 5. Accountability 6. Pro activeness 7. Thoroughness 8. Focused on results 9. Inspired to learn and grow constantly 10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"
Requirements
- 2-year college degree
- 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree
- Must have backup power supply (extra laptop/power bank/generator/UPS)
- Detail orientated with above-average organizational skill
- Able to plan and prioritize to meet deadlines
- Excellent verbal and written communication
- Communicates clearly and effectively
- Excellent reading comprehension
- Excellent computer skills, including Microsoft programs such as Excel, Word
- Thorough understanding of navigating the internet
Benefits
Independent Contractor Perks
· Permanent work from home
- Immediate hiring
Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.
Originally posted on Himalayas