Verification Specialist

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn.

Under close supervision of the project Team Coordinators / Management team, the Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits
. The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.

• Collects and reviews all patient insurance information needed to complete the benefit verification process.
• Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.
• Verification process could include electronic validation of pharmacy coverage and medical eligibility.
• Identifies any restrictions and details on how to expedite patient access.
• Could include documenting and initiating prior authorization process, claims appeals, etc.
• Completes quality review of work as part of finalizing product.
• Reports any reimbursement trends/delays to supervisor.
• Performs related duties and special projects as assigned.
• Ability to work in a fast-paced office environment.
• Work requires focus, flexibility, and the ability to adapt to changing work situations.
• This position requires that the Associate be seated most of the day.

• Proficient Windows based experience including fundamentals of data entry/typing
• Working knowledge of Outlook, Word, and Excel
• Strong interpersonal skills and professionalism
• Independent problem solver, good decision maker, and robust analytical skills
• Strong attention to detail
• Effective written and verbal communication

• High school diploma or GED minimally required.
  Two (2) + years directly related and progressively responsible experience and/or college degree.
• Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plus
• Broader experience/training may be considered in fields such as case management, social services and pharmacy technician.
• Familiarity with verification of insurance benefits a plus.
• Fundamental understanding of key payers including Medicaid, Medicare and private payers

All your information will be kept confidential according to EEO guidelines.