Verification of Benefits Specialist
- Associate degree in Nursing/Home Health (LVN/LPN) or related field required.
- Minimum of 2 plus yrs experience in a utilization (medical approval) environment or similar work experience
- Knowledge of private insurance, Worker’s Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review.
- Experience in medical device or DME Billing a plus
- Proficient with Microsoft Office (Word & Excel specifically)
- Medical billing software experience a plus
- Knowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding)
- Ability to accurately meet required time frames/deadlines
- Ability to work as a team player and share workloads with other team members
- Excellent verbal and written communication skills
- Ability to train/present concepts to others.
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