Benefit Verification Specialist

Time zone
Anywhere 🌎
Type
Full Time
Opening date
Closing date
8 Dec 2021
Views
109

The Pill Club is making women’s healthcare more accessible and affordable by creating a simple, personal and convenient patient experience. Our mission is to be the most trusted health care partner for women, empowering our members through greater access, choice, and education about their options —all while delivering a positive and personal experience. Simply put: we’re putting the ‘care’ back into health care.

Starting with birth control, we’ve built in-house medical and pharmacy capabilities all integrated with insurance, to create a superior customer experience. In doing so, we have defined digital contraceptive care for women and are the nation’s leading integrated healthcare platform, combining telemedicine and direct-to-consumer pharmacy with the broadest insurance coverage in the space. Our ambition is to bring this level of superior customer experience to all areas of women’s digital primary care.

We are a growth stage company with over $100M in venture capital funding from leading investors, such as VMG Partners, GV (Google Ventures), Shasta Ventures, Base 10 Ventures, Acme Labs and more. Today, we serve hundreds of thousands of members nationwide, and prescribe in 48 states, plus Washington, D.C.

About this role

Our Benefit Verification Team is a panel of experts on the entire insurance verification process. Their primary role is to ensure our patients’ pharmacy and medical services are processed by insurance payers in a timely manner. In this role you will perform eligibility checks, detailed insurance verification, and act as a liaison between patients, third party payers, and internal stakeholders. We are on a mission to simplify the process of providing our patients with access to healthcare. If you are interested in working at a rapidly growing healthcare startup and be a part of building a company that’s changing the way birth control is dispensed, please consider joining our team!

You will:

  • Collect, review, and process patients’ insurance information to complete benefits investigations with speed and accuracy (eligibility and coverage for both medical and pharmacy benefits)
  • Use a computer and phone on a regular basis to interact with patients, peers, Pharmacists, medical staff, and other internal experts/resources engaged in servicing our patients
  • Leverage internal systems and/or contact insurance carriers via phone and website/portals to obtain verification of eligibility and coverage details
  • Input detailed and confidential medical information
  • Maintain proprietary databases and tools to support insurance verification
  • Assist in medical billing functions and collections (e.g., enroll payers for eligibility, claims, EFTs, and ERAs; payer website enrollment; supporting medical billing phone line and voicemails, etc.)
  • Report any insurance verification, roots processing, or billing trends to the broader team and consolidate issues and opportunity to report to leadership
  • Lead trainings on our insurance verification processes for the broader organization
  • Be able to effectively collaborate with peers and cross-functional teams to solve problems and enhance the insurance verification and billing processes
  • Follow prescribed processes and able and willing to identify new solutions that improve the benefits verification process within required SOPs/policies
  • Identify opportunities for improvement in our insurance processing automation or manual processes
  • Submit prior authorizations on behalf of the medical and pharmacy organizations
  • Be flexible to work overtime, evenings or weekends as needed
  • Perform other duties as assigned

You have:

  • Reliability – demonstrated ability to meet commitments including following policies, procedures, and working schedules as assigned.
  • Work Standards – establishes a high bar for quality and volume of work; independently or
  • with minimal guidance sets criteria that consistently meets or exceeds what is expected and/or asked.
  • Patient Centricity – has a natural desire to create and deliver an exceptional experience to
  • those being served (i.e. patient, customer, peer, manager)
  • Great communication skills – effectively engages internal and external stakeholders and represents our Company via verbal and/or written communication; demonstrates a high comfort with speaking via text and phone
  • The ability to learn quickly and adapt to changing requirements based on business, legal and medical governance
  • High School Diploma or equivalent required.
  • Minimum of 2 years experience in insurance verification and benefits
  • Familiarity with insurance and billing policies and procedures

Even better if you have:

  • Experience in patient access/ patient registration and/or billing experience in a clinical care setting
  • Experience working in a start-up or healthcare environment
  • College degree preferred
  • Proven ability to effectively communicate succinctly both verbally and in writing; to present
  • information and respond to questions from patients.
  • Effective data entry; speed and accuracy critical.
  • Strong interpersonal and organizational abilities.
  • Basic computer skills including working knowledge with a word processing and

The Pill Club is committed to employee health and safety. COVID-19 vaccinations will be required for all employees who work, have desire to work, or have occasion to be in office, with the exception of those who have an approved exemption for medical or religious accommodation.

Perks

  • – Medical, dental and vision insurance
  • – 401k plan and matching
  • – Short term disability, long term disability, and life insurance
  • – Pre-Tax Commuter, FSA, and HSA benefits
  • – Unlimited time off
  • – 16 weeks of parental leave
  • – $15K towards family planning and fertility support via Carrot
  • – Unlimited access to thousands of workouts via Aaptiv
  • – Unlimited access to meditation, sleep exercises and more via Headspace
  • – Pet insurance via Petplan
  • – Mortgage, student and personal loan refinancing, and personal finance management via Sofi
  • – Gym, travel and additional discounts via Perkspot

If you fit most of these requirements and love the idea of working to improve women’s health, please apply with a resume. We can’t wait to hear from you!

We are an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.

Report · Embed ·

How to apply

ATTN. Be careful! You should never send cash or cheques to a prospective employer, or provide your bank details or any other financial information. We pay great attention to vetting all jobs that appear on our site, but please get in touch if you see any roles asking for such payments or financial details from you. The employer won't know who reported this job.


Share this job

Personalised job alerts

Set up personalised e-mail alerts about similar jobs.

See a few more

Related jobs in Business & Management

Report this job

The employer won't know who reported this job. Contact your local law enforcement for immediate help if someone is in danger or the victim of a scam.
All Job Ads are subject to Jobicy's Job Posting Policies. We allow users to flag postings that may be in violation of those terms. Job Ads may also be flagged by Jobicy. However, no moderation system is perfect, and flagging a posting does not ensure that it will be removed.

Job Widget Code

Place this code wherever you want the widget to appear on your page.

<script src="//jobicy.com/api/widget.js?5XyPbk5QqyZg=8635" async></script>

Ask a Question

Position: Benefit Verification Specialist.


Login to Send Message