Verification of Benefits Representative

The VOB Representative is responsible for verifying the insurance coverage and eligibility for PT/INR Home Testing patients in order to determine how much their insurance(s) will cover for the services provided by Alere Home Monitoring. Obtain appropriate authorizations for purchase or service from insurance companies for INR equipment and testing supplies.

JOB RESPONSIBILITIES:

• Contact insurance companies to verify coverage status of patient benefits.
• Files pre-authorizations for patients with insurance companies and provide follow up as needed.
• Process supply orders.
• Maintains accurate patient information in relevant Acelis Connected Health data management systems.
• Provides patients with information regarding their order status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting payments for co-pays for supply orders, if applicable.
• Gathers all necessary additional medical records as requested by insurance companies.
• Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments.
• Performs other related duties as assigned.

MINIMUM REQUIREMENTS:

• Prior medical insurance authorization experience preferred.
• One to two years data processing experience preferred,
• One to two years customer service or provider relations experience preferred
• Associate degree or equivalent with a minimum of three years relevant working experience.

COMMUNICATION SKILLS

• Position requires heavy telephone contact with program providers and participants (up to 90%).
• Excellent interpersonal and phone etiquette skills
• Ability to provide superior customer service and meet customer satisfaction expectations.
• Detail & Team Oriented
• Communication & Writing Skills
• Organization/Time Management Skills
• Human Relation Skills
• Excellent oral and written communication skills.
• Detail oriented with a focus on exceptional customer service.
• Excellent PC skills and organizational skills.

TECHNICAL SKILLS

• Basic Excel, Word and Outlook experience required.
• Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function.
• Strong Computer/Software Skills

PHYSICAL ABILITIES

• Perform some repetitive motion activities. • Sit for long periods of time.

• Requires close vision and the ability to adjust eye focus often.
• Required to reach with hands and arms.

WORK SCHEDULE

• Must be able to work the shift established at the designated work site.
• Must be able to work an 8 hour shift.
• Must be able to work Monday through Friday
• Occasional weekend work may be required.