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Benefits Investigator

4 weeks ago

Malvern, Pennsylvania, United States Neuronetics Inc Full time

Job Summary:

The Benefits Investigation Specialist will be responsible for completing benefit investigations on behalf of our providers, outlining potential Neurostar TMS coverage for their patients. This includes interacting with insurance carriers to research relevant CPT codes, documenting benefit investigation results, and reporting back to the providers offices with key information to help patients in need pursue Neurostar TMS treatment.

Key Responsibilities:

  • Interact with insurance carriers to research relevant CPT codes
  • Document benefit investigation results
  • Report back to providers offices with key information
  • Collaborate with field Reimbursement team members to explain benefit information to patients and providers
  • Log new Benefit Investigation inquiries as they are requested
  • Accurately document BI results in CRM platform for delivery to providers
  • Follow all policies and procedures to ensure accuracy and consistency
  • Resolve all inbound customer BI inquiries and follow through to completion
  • Work with all Neuronetics field staff to ensure customer satisfaction
  • Ability to meet all department objectives and metrics for BI completion
  • Aptitude to explain reimbursement language clearly and concisely
  • Understanding of medical and behavioral health benefit coverage and reimbursement information
  • Familiarity with the treatment authorization process and the claim denial and appeals process
  • Basic computer skills including Microsoft Office, Internet, CRM use, and telephonic systems

Requirements:

  • Associates or Bachelors Degree preferred
  • ~1-2 years medical device/healthcare experience, preferably insurance related and working with providers and patients, payers, processing claims & conducting benefit verification calls for medical services using CPT codes

Neuronetics is an equal opportunity employer that is committed to diversity and inclusion in the workplace.

We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state, or local laws.