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.

ESSENTIAL FUNCTIONS:

  • 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.

Qualifications:

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