Regional Benefits Verification Specialist - OPCO Skilled Management

Your Job Summary

The Regional Verification Specialist will be responsible to direct the patient benefit activities of the organization, lead/manage each facility’s corresponding team members in maintaining the highest standards in the benefits process for Medicare and Medicaid, ensuring accuracy and overseeing timely and effective responses.

Your Job Responsibilities

• Responsible for communicating efficiently with the facility regarding benefits for Medicare and Medicaid referrals.

• Attains benefit verification for Medicare and Medicaid referrals to ensure facility reimbursement.

• Provide excellent customer service to patients, facility staff, and referral sources.

• Ensure response to internal and external communication timely and accurately.

• Builds repour with the facility staff to obtain any necessary information needed to complete benefit verifications.

• May require contact with MCO’s and Medicare.

• Safeguard all verification documentation for future access.

• Provide facilities with a detailed explanation of benefits.

• Adhere to professional standards as outlined by protocols, rules, and regulations.

• Performs any miscellaneous work assignments as may be required.

• Ensure compliance with all State and Federal laws in relation to your position.

• Manage the Funding Verification Specialist position to ensure therapy fund verifications are completed timely and accurately, also provide training and education.

• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Your Qualifications

•       High School Diploma

•       At least two (2) years of work experience.