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Medication Access, Simplified. We are on a mission to help people get their medications quickly, easily and affordably.
Benefits Support Specialist
Location
Arizona + 25 moreAll locations: Arizona | California | Colorado | Florida | Idaho | Illinois | Iowa | New Hampshire | New Jersey | New York | North Carolina | Ohio | Oklahoma | Oregon | Massachusetts | Michigan | Missouri | Pennsylvania | South Carolina | Tennessee | Texas | Utah | Virginia | Washington | West Virginia | Wisconsin
Posted
56 days ago
Salary
$17 - $19 / hour
Seniority
Junior
Job Description
Benefits Support Specialist
Phil, Inc.
• Place outbound calls to insurance carriers and navigate payer phone systems to reach eligibility and benefits representatives • Verify active coverage and obtain detailed benefits information including deductibles, copays, coinsurance, out-of-pocket maximums, prior authorization requirements, and in/out-of-network benefit levels • Accurately document all information obtained during each call, including reference numbers, representative names, and call timestamps • Interpret call outcomes and apply decision criteria to move each case to the correct next step in the workflow (e.g., eligible for services, requires prior auth, inactive/terminated coverage, patient financial responsibility assessment, denial routing) • Identify discrepancies between payer-reported benefits and information on file and escalate appropriately • Meet daily productivity and quality standards for call volume and documentation accuracy • Maintain working knowledge of common insurance terminology, plan types (HMO, PPO, EPO, HDHP), and payer-specific requirements
Job Requirements
- 1+ years of experience in medical billing, insurance verification, or a related healthcare administrative role
- Minimum 1 year of customer support experience (call center experience is preferred).
- Familiarity with insurance benefits terminology and payer communication processes,
- Strong attention to detail and ability to accurately transcribe information in real time with low/no errors
- Ability to independently assess call outcomes and apply routing logic without constant supervision
- Comfortable with high call volumes and navigating automated payer phone systems
- Proficiency with EHR/practice management software or equivalent case management systems
- Must have a good understanding of computers, hardware, networks, etc.
- Adaptable to swift changes
- Open to giving and receiving feedback graciously and professionally
Benefits
- Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV
- Competitive compensation (commensurate with experience)
- Full benefits (medical, dental, vision)
- 401(k)
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