You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is looking for a Benefit Verification Specialist to perform comprehensive insurance re-verification processes. The primary goal of this role is to ensure accurate and effective communication with patients, payers, providers, and pharmacies, while maintaining HIPAA compliance and confidentiality.

Key Responsibilities

• Complete a high volume of outbound and inbound calls to patients for insurance re-verification.
• Communicate clearly and professionally to gather necessary information.
• Document patient information and verify outcomes accurately.
• Collaborate with team members to meet daily and weekly goals.
• Maintain confidentiality and adhere to all HIPAA regulations.
• Troubleshoot and resolve basic patient inquiries.

Qualifications

• 2+ years of experience in Benefit Verification/Benefit Investigation.
• Strong understanding of insurance (EOB, deductibles, claims, payer portals).
• Willingness to pick up and drop off equipment in person.
• High school diploma or GED.
• Preferred: Knowledgeable with Pharmacy PBM/HUB services and call center experience.

Skills

• Strong technical understanding of insurance processes.
• Excellent communication and teamwork abilities.

Additional Requirements

• Must be able to work Monday through Friday, with shifts between 7am-7pm CST.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is dedicated to providing equal employment opportunities for all personnel. Employment decisions are based on merit and business needs, without discrimination.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients