Benefit Verification Specialist

Full time, 36 hours per week

We offer competitive salary, benefits (including medical, dental, vision), retirement, PTO, and 9 paid holidays.

If you are a compassionate professional who provides exceptional quality care, Jordan Valley is for you! We are Missouri’s largest Federally Qualified Health Center founded in 2003 and we serve 75,000 patients each year. The mission of Jordan Valley is to improve the health of our community by providing high-quality and accessible medical, dental, and behavioral health services to Southwest MO. We're collaborative and believe in always going above and beyond as part of our commitment to deliver excellent care to our community!

Job Overview:

The Benefit Verification Specialist should have strong knowledge of insurance benefits which includes – deductibles, co-insurance, out of pocket, and plan exclusions. The Benefit Verification Specialist should also have knowledge of prior authorization requirements for an FQHC for Medical, Dental, and Behavioral Health Services, and have an understanding of reimbursement practices including government program regulations and managed care contracting.

Duties:

• Verify the patient’s insurance coverage and benefits to enhance the Revenue Cycle and decrease denials.
• Perform pre-registration/registration processes, verify eligibility and obtain authorizations, submit notifications and verify authorizations for services.
• Verify patient’s demographics and accurately input this information in the electronic medical record, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payer(s).
• Obtain any federal/state required information and all consents and documentation required by the patient insurance plan(s).
• Verify and understand insurance benefits, documents patient responsibility based on estimates at the time of pre-registration and document this thoroughly for the registration staff.
• Explain organizations financial policies and provide information along with providing a referral to the financial counselors to patients and their families.
• Acts as a liaison between the patient, the billing department, vendors, the clinic departments, and the payer(s) to enhance account receivables performance.
• Provide excellent customer service on the telephone, in person, and written inquiries.
• Conduct follow up on assigned pending authorization requests following the process and procedure developed by management.
• Ability to utilize online insurance portals to obtain supplemental benefit information.

Benefits

Our benefits are designed to encourage a healthy work-life balance.

• Health (Both HSA and FSA options and access to our Telemedicine program)
• Vision
• Free dental and life insurance, and long term disability. Affordable rates for family dental and life insurance.
• 403b retirement match on the 1st of the month after 30 days.
• Employee Assistance Program
• Day One PTO Accrual
• 9 Paid Holidays
• Free On Site Fitness Facility at our Springfield Tampa Clinic

Required Qualifications:

• 2+ years experience in the healthcare and/or dental field.
• Working knowledge of insurance companies and policies.
• COVID vaccine required for all new employees.

Preferred Qualifications:

• High School Diploma or GED.