VOB Specialist - PCP

VOB Specialist - PCP

Location: Lake Mary, FL
Onsite Flexibility: Onsite
Contract Details
Position Type: Contract
Contract Duration: 6 months
Pay Rate: $21.37 / Hour (USD)
Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Job Summary
This is a Verification of Benefits (VOB) role

not a customer service position. The VOB Specialist is responsible for contacting insurance companies to verify insurance benefits and managing the full lifecycle of authorizations, referrals, appeals, and related documentation for new and ongoing patient services.
Key Responsibilities
Contacts insurance companies to verify insurance benefits.
Initiates Pre-authorization, PCP referral, and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow-up activities for outcomes.
Files Appeals for denied coverage to insurance companies as needed.
Maintains customer records in the practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes, and communication with insurance companies.
Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals, and outcomes for services of care.
Provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable.
Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation, as well as updating customer records according to outcomes.
Performs other related duties as assigned.
Required Skills
Understanding of Medicare rules and regulations
Understanding of managed care as it relates to benefits and authorizations
Advanced MS Office experience
Strong verbal and written communication skills
Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
Must be able to work under pressure and meet deadlines
Education Requirements
High school diploma or GED required
Required Experience
Must have prior authorization/verification experience
Preferred two or more years' experience, but a minimum of 1 year of experience is required in insurance benefits verification and/or collections and/or managed care contracting
Benefits
Medical, Vision, and Dental Insurance Plans
401k Retirement Fund
About the Client
This client is a leading healthcare innovator dedicated to improving lives worldwide, with a portfolio spanning medical devices, diagnostics, nutritional products, and pharmaceutical solutions that reach patients in more than 160 countries. With over 140 years of operation and a global footprint across four major business segments

medical devices, nutritional products, diagnostics, and established pharmaceuticals

the organization employs tens of thousands of professionals worldwide, including biomedical engineers, clinical scientists, regulatory affairs specialists, and commercial operations professionals. The company is a certified Great Place to Work and is recognized for its inclusive culture, investment in employee development, and its record of breakthrough innovations in continuous glucose monitoring, rapid diagnostics, cardiac devices, and nutritional science.
About GTT
GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.
Job Number: 26-08753