Benefits Investigation Specialist (13)

Summary

Verifying patient insurance eligibility and investigating benefits for genetic and molecular diagnostic testing, the full-time Benefits Investigation Specialist will work remotely to ensure accurate coverage information and resolve discrepancies to facilitate timely reimbursement.Key responsibilitiesVerify active insurance coverage and confirm member details using payer portals and electronic eligibility toolsContact patients and provider offices to obtain missing or corrected insurance information and escalate unresolved issuesDocument benefit findings and communicate eligibility information clearly to patients and internal teamsRequired qualificationsHigh school diploma or equivalent2+ years of experience in healthcare insurance verification, benefits investigation, or related functionsWorking knowledge of commercial insurance, Medicare, Medicaid, and managed care plansExperience using payer portals and healthcare or revenue cycle systemsStrong problem-solving skills and attention to detail in documentation and follow-up

Job Description

Verifying patient insurance eligibility and investigating benefits for genetic and molecular diagnostic testing, the full-time Benefits Investigation Specialist will work remotely to ensure accurate coverage information and resolve discrepancies to facilitate timely reimbursement.Key responsibilitiesVerify active insurance coverage and confirm member details using payer portals and electronic eligibility toolsContact patients and provider offices to obtain missing or corrected insurance information and escalate unresolved issuesDocument benefit findings and communicate eligibility information clearly to patients and internal teamsRequired qualificationsHigh school diploma or equivalent2+ years of experience in healthcare insurance verification, benefits investigation, or related functionsWorking knowledge of commercial insurance, Medicare, Medicaid, and managed care plansExperience using payer portals and healthcare or revenue cycle systemsStrong problem-solving skills and attention to detail in documentation and follow-up