CND Life Sciences
  • 16-May-2023 to Until Filled (CST)
  • Scottsdale, AZ, USA
  • 50000
  • Salary
  • Full Time

Medical, Dental, Vision, Life, STD, LTD, 401K


The Benefit Verification Specialist will be responsible for performing all functions, from start to finish, to complete benefit verifications (BVs), prior authorizations (PAs) and other pre-authorizations for CND's commercial testing products. The Benefit Verification Specialist will work closely with other members of the Revenue Cycle Management team as well as Clinical Services on a daily basis.

Job Responsibilities:

  • Collect and enter all patient and insurance information relevant to completing BVs, PAs and other pre-authorizations into CND's customer relationship management platform (Salesforce) and other locations in a highly accurate and timely manner
  • Clarify incorrect or incomplete patient, insurance or other information that is necessary to complete BVs, PAs or other pre-authorizations
  • Complete BVs, PAs and other pre-authorizations in a highly accurate and timely manner to fully meet the business needs of CND
  • Fully utilize Waystar to batch process BVs and any other applicable pre-authorizations to reduce turnaround time, increase accuracy and drive efficiencies
  • Regularly send completed BVs, PAs and other pre-authorizations to Clinical Services and other members of the Revenue Cycle Management team to allow them to communicate BV, PA and other pre-authorization results to patients and clinician customers and/or practices
  • Regularly liaise with Clinical Services and other members of the Revenue Cycle Management team to support their functions related to BVs, PAs and other pre-authorizations
  • Comply at all times with HIPPA and all other applicable regulations as well as CND's policies
  • Other duties as assigned

Knowledge, Skills & Experience:

  • Previous experience completing BVS, PAs and other pre-authorizations as well as medical billing experience
  • Act in a highly compliant and professional manner at all times
  • Understand and apply knowledge of the U.S. healthcare system as well as government and commercial U.S. health insurance and coverage
  • Understand and apply knowledge of medical front office processes and terminology
  • High attention to detail and highly accurate documentation of information
  • Excellent verbal and written communication skills
  • Strong customer service skills to be used in internal communications with the Revenue Cycle Management and Clinical Services teams
  • Strong analytical skills to organize and interpret data and to enable problem solving
  • Excellent poise and professionalism in verbal and written communication
  • Strong ability to work effectively in fast-paced, dynamic team environments

Education, Certifications, and Licensures:

  • High school diploma or GED certificate required
  • Additional coursework or education (e.g., billing certificate, AA or bachelor's degree) with a focus on billing or related area preferred.

Other:

  • Ability to use computers, software and related platforms as well as copiers, fax machines and scanners to create and maintain records
  • Must possess the ability to sit or stand for long periods of time
CND Life Sciences
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