Job Description
Purpose: The Funding and Benefits Specialist is responsible for assessing and determining payment options so that appropriate candidates may trial and procure a Lingraphica device.
Essential Duties & Responsibilities:
- Acquires insurance benefit coverage via phone or online portal
- Interprets benefit coverage information to determine anticipated costs for clients
- Uses discernment and judgment to verify the quality of the information provided by insurance companies
- Determines device trial funding options based on the patient’s insurance coverage
- Reviews benefits and documentation for funding and reimbursement accuracy prior to sale
- Clearly communicates funding options in our CRM and to other Lingraphica staff
- Maintains accurate and complete documentation of all inquiries
- Proactively communicates with team members regarding identified potential issues and concerns
- Maintains patient records according to HIPAA and Medicare guidelines
- Tracks and trends issues to aid the team in resolution and prevention of repeat problems
- Completes all administrative functions, such as data entry, associated with sales activities in a timely manner
- Identifies and escalates priority issues and proactively follows up on tasks
- Performs other duties and special projects as assigned
Qualifications
Skills, Competencies, and Experience:
- Knowledge of insurance and funding sources for DME
- Knowledge of common communication disorders and their etiologies
- Efficient data entry/typing skills
- Effective verbal and written communication skills
- Customer service skills and professionalism
- Attention to detail, ability to keep track of many possible circumstances and outcomes
- Steady and consistent performance of routine activities
- Ability to gather information and assess risk before making decisions
- Ability to use a deliberate, methodical approach to solving problems
- Strong critical thinking and problem-solving skills
- Ability to effectively handle multiple and shifting priorities
- Ability to take on new challenges with an open and curious mindset
- Ability to resolve issues in a professional and timely manner
- Possess a sense of urgency and willingness to go above and beyond to complete tasks
- Compassion for clients with disabilities and investment in providing them the best results
- Comfort/willingness to communicate with clients with speech disabilities
Education and Experience
- High School Diploma or GED, required
- Associates or Bachelor's Degree or equivalent combination of education and experience, preferred
- 2 years healthcare or insurance related experience, preferred
- 2 years customer service and/or administrative experience, preferred
- Bilingual (English/Spanish), preferred
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