Kelly Services Benefit Verification Coordinator in Frisco, Texas
Benefit Verification Reps Immediate Openings (5 Reps Needed) Frisco,TX
Contract 6 months $15-17 per hr
SUMMARY OF POSITION:
Our client coordinates with pharmacy, nursing and benefits so that the patient and the physician have fewer administrative concerns and can focus on achieving the outcomes they desire.
Provides intake services and setup for all new patients
Verify benefits on both pharmacy and major medical plan
Review clinical documents for prior authorization/ pre-certification submission purposes
Initiate, complete (when allowable) and tirelessly pursue Prior Authorization approval from insurance carriers and offer to go above and beyond to assist and support our MDO practices whenever possible
Coordinates the patient's care with physician offices, nurses, pharmacists and patients.
Performs accurate and timely insurance verification, both major medical and pharmacy benefits.
Coordinates prescription deliveries and refills for patients.
Works with home health nursing visits and maintenance of a patient census throughout the course of their therapy.
Supports other team members in the healthcare team.
Ensures a continuous quality improvement customer service approach by proactively identifying areas of improvement and communicating those ideas to the healthcare team.
Maintains current documentation related to the patients drug therapy and pharmacy care plan. Flag issues that need to be addressed.
Coordinates responses and resolutions to issues with appropriate internal and external parties.
Nurture/foster strong supporting relationship with every physician’s offices.
Actively participates in roundtable discussions with Pharmacists, Nursing Services and Pharmacy Care Coordinators to review cases and related drug therapy and pharmacy care plan issues.
Maintains and promotes positive and professional working relationships with associates and management.
Requires broad training in fields such as business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year Bachelor's Degree Program or equivalent combination of experience and education.
Requires one (1) to two (2) years directly related and progressively responsible experience in a healthcare related to directly verifying health benefits insurance.
Strong health benefits verification skills including major medical and pharmacy benefits. Knowledge of Medicare, B, D and C and Medicaid plans is preferred.
• Adept at handling sensitive and confidential situations
• Excellent presentation skills
• Strong analytical skills
• Strong organizational skills; attention to detail
• Ability to resolve associate issues quickly and efficiently
• Ability to represent a positive and professional image
• Strong knowledge of Microsoft Word, Excel, Power Point and Outlook
• Ability to resolve PBM claim rejection
Why Kelly ® ?
With Kelly, you’ll have direct connections to leading healthcare companies—providing you with the chance to positively impact quality and delivery of patient care. In a field where innovation and change happen constantly, our connections and opportunities will help you take your career exactly where you want to. We work with 95 of the Fortune 100™ companies, and more than 1,200 healthcare hiring managers turn to us each year to access the best talent: people like you.
Let us help advance your healthcare career today.
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook , LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm