Verification Specialist

• Acquire insurance benefit coverage via phone or online portal
• Interpret benefit coverage information to determine anticipated client costs
• Evaluate the accuracy, completeness, and reliability of insurance benefit information
• Assess case viability based on reimbursement, payor requirements, funding criteria, and reimbursement likelihood
• Determine device trial funding options based on patient insurance coverage
• Identify and resolve potential coordination of benefits issues
• Review benefits for accuracy prior to sale
• Communicate funding determinations, barriers, and next steps to internal teams, patients, and care partners
• Maintain accurate and compliant documentation and patient records according to HIPAA and Medicare guidelines
• Communicate potential issues and concerns to team members
• Track and trend issues to support resolution and prevention of repeat problems
• Complete data entry and administrative functions associated with sales activities
• Identify and escalate priority issues and follow up on tasks
• Perform other duties and special projects as assigned

Funding verification specialist helping Lingraphica secure coverage for speech-generating devices

Funding Verification Specialist

Funding Verification Specialist helping Lingraphica, a provider of speech-generating devices, verify insurance and secure reimbursement.
Assessing coverage, funding options, and case viability for patient device trials and procurement.

• Obtain patient insurance information
• Contact insurance companies to verify insurance coverage and ensure necessary procedures are covered
• Enter patient benefit information accurately and ensure existing information is correct
• Enter notes on upcoming appointments
• Work with offices and Call Center Representatives communicating changes in patients’ insurance
• Following up with monthly eligibility until surgery has been performed

Dental Verification Specialist working with insurance claims at Wisdom Teeth Guys

Dental Verification Specialist

Dental Verification Specialist working remotely for Wisdom Teeth Guys. Responsible for verifying patient insurance claims and ensuring coverage accuracy in a dental setting.

Dental Medicaid Verification Specialist ensuring accurate insurance claims payment

Dental Medicaid Verification Specialist

Dental Medicaid Verification Specialist ensuring accurate insurance claims payment with a focus on patient care. Must have Medicaid verification experience in multiple states for this remote role.

• Ensure best in world quality from initial vehicle quality through high time in service.
• Ensure aligned cascade of Reliability and Confidence statistical objectives for the 90th percentile use case with classification of end items aspects as Durable Core or Replaceable.
• Ensure aligned cascade of targets for reliability of suspension end items – vehicle to system to end item to end item functions.
• Ensure proper accounting of suspension function and performance within customer operating conditions and environments / noise factors using the system RCL and aligning with end item RCL’s.
• Expert in creating and executing vehicle, system, and lab testing that exercise applicable noise factors and potential failure modes to demonstrate targeted Reliability and Confidence.
• Hands on development, test, and data acquisition skills with ability to reduce and analyze data to support Test Method development and root cause analysis.
• Use of warranty analysis, management fleet information, government inspection data, supplier part sales, social media, etc to confirm coverage of our design verification test methods.
• Ensure connection of our physical test methods to our design inputs and CAE verification methods.
• Drive key stress factors into specifications and test methods to eliminate HTIS failures collaborating with TE/SME Specification owners.
• Champion change point analysis for re-used or modified end items and ensure correct level of requirements and checks are planned as part of the program.
• Work with customer correlation and system technical specialists to align system durability verification methods for each application including a formalized engagement of connected vehicle data, vehicle platform engineering and Ford Business divisions like Ford Pro.
• Lead on suspension diagnostics and prognostics.
• Integral to Signoff of System/Subsystem/Component with specific signoff responsibility BEFORE Chief Signoff
• Coach, Mentor, & Train Suspension D&R engineers across all the global regions
• Go-To for System Problem Solving – Launch, Recall, Quality / Field Issues, DV/PV Issues

Technical Expert integrating suspension and steering systems at Ford.

Technical Specialist – Chassis Systems Reliability Verification, Validation

Technical Expert integrating suspension and steering systems at Ford. Leading global teams in design, validation, and launch for vehicle systems.

• Provide analytical support in executing internal control discipline and operational excellence.
• Gather and organize data to monitor and test the effectiveness of key controls and status of mitigation and action plans.
• Validate beneficiary, bank, and account information for accuracy and legitimacy
• Prepare documentation for tracking, monitoring, and escalation of risk related issues to management in addition to documenting verification steps, outcomes, and concerns
• Follows standard procedures and guidelines including the verification of wire instructions with the provider and escalations from Field Management
• Understands how assigned duties relate to others within the team and how the team integrates with related teams
• Impacts teams through the quality of the support provided including identifying discrepancies, fraud indicators, and unresolved risks
• Recognizes and solves typical problems; selects solutions from established options
• Communicates information including collaborating to resolve verification gaps, reporting findings to external departments, and response to verifications requests
• Works under general supervision with limited ability to modify approach; Individual contributor having no supervisory responsibilities; manages own workload
• Performs all other duties as assigned by management

EPVS Verification & Escalation Specialist conducting fraud review and escalation resolution

Enterprise Payment Instruction Verification Specialist

EPVS Verification & Escalation Specialist handling escrow wire disbursement verification and fraud review at Stewart. Conducting escalation resolution and managing high risk verification issues.

Verification Specialist jobs in United States

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Funding Verification Specialist

Dental Verification Specialist

Dental Medicaid Verification Specialist

Technical Specialist – Chassis Systems Reliability Verification, Validation

Enterprise Payment Instruction Verification Specialist