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 seeking a dedicated Benefit Verification Specialist. In this role, you will be responsible for managing manual outreach to insurance payers to verify patient benefits, navigate plan-specific requirements, and resolve complex coverage questions. You will apply your prior health insurance and benefits verification experience to troubleshoot discrepancies, document findings, and accurately enter information into their proprietary platform. Familiarity with fertility or women's healthcare is highly valued.
Key Responsibilities
- Manage manual outreach to insurance payers to verify patient benefits.
- Navigate plan-specific requirements and resolve complex or unexpected coverage questions.
- Apply prior health insurance and benefits verification experience to troubleshoot payer discrepancies.
- Document findings and accurately enter information into the company's proprietary platform.
Qualifications
- Strong commercial insurance knowledge and payer processor experience.
- Experience within fertility or women's health.
- Strong customer service skills.
- Bilingual Spanish (preferred).
- Experience working remotely (preferred).
Experience
- Demonstrated experience in health insurance and benefits verification.
- Prior experience troubleshooting payer discrepancies.
Skills
- Proficiency in navigating various commercial insurance plans and payer processes.
- Excellent customer service and communication skills.
Additional Requirements
- Must have a stable Internet connection; ethernet cord preferred.
- Quiet workspace with no distractions.
- Ability to work Monday-Friday, 8 am-5 pm or 9 am-6 pm Mountain or Pacific timezone (40-hour week).
- Remote work opportunity within the U.S. (excluding California).
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.
*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 Revenue Cycle 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 financial and confidential information, handling financial and other payment data, 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.
