Benefit Verification Specialist

2 weeks ago

Oklahoma City, United States Medix Full time
Job DescriptionJob Description

Job Posting: Benefit Verification Specialist - Contract to Hire opportunity

Location: Oklahoma City, OK (Hybrid/Remote Option Available Post-Training)

Schedule: Monday - Friday, 8 AM - 5 PM
Start Dates: 5 positions starting December 2nd, and 5 positions starting December 9th
Pay: $24.00/hour (Flat rate during contract period)

Overview:
We're seeking motivated and detail-oriented Benefit Verification Specialists to join our team during the annual reverification season ("AR" or "blizzard" season), a critical year-end period for ensuring patient coverage and continued medication access. This role will handle a high volume of referrals, insurance verifications, and authorizations, supporting patients and caregivers while coordinating closely with our Sales and Pharmacy teams. After 2-4 weeks of training and demonstrated performance, this position offers a hybrid or remote work option.

Responsibilities:

  • Process incoming referrals from referral sources and ensure all required documentation is received in a timely manner.
  • Complete intake referral checklists, enter patient demographics, insurance, and authorization details into our computer system.
  • Secure authorizations and re-authorizations as required by payers and document them in the system.
  • Ensure insurance verification is complete and authorization is obtained before the referral is forwarded to a pharmacist.
  • Stay knowledgeable about insurance plans contracted with Amerita, including Medicare, Medicaid, and commercial insurance.
  • Communicate status updates and authorization requirements to the Sales team, pharmacy staff, and other departments.
  • Inform patients and caregivers about insurance coverage and payment responsibilities.
  • Accurately document progress notes and maintain confidentiality of patient information.
  • Manage high-volume administrative tasks typical of AR season, including benefit verification, patient outreach, and prior authorization renewals.

Qualifications:

  • Education: High School Diploma/GED required; Associate's Degree or some college preferred.
  • Experience: Minimum 2 years in healthcare referral processing, with knowledge of insurance verification and pre-certification.
  • Insurance Knowledge: Familiar with Medicare, Medicaid, and various commercial insurance types.
  • Communication Skills: Strong verbal and written communication abilities are essential.
  • Healthcare Background: Experience in pharmacy environments (particularly Specialty or Infusion), Patient Access, Intake Coordination, Scheduling, or similar roles in specialty clinics (e.g., Oncology, Cardiology, Gastroenterology) is a plus.

Ideal Candidate Profile:
We are looking for candidates who have hands-on experience with insurance verification, authorizations, or related front-end RCM processes. Experience in specialty clinics, DME companies, or as Pharmacy Technicians or Business Office Personnel is highly valued.

Important Note on Permanent Placement:
This role offers a $24/hour flat rate during the contract period. If converted to a permanent position, salary would be re-evaluated by HR and may be adjusted based on salary bands, with $24 representing the higher end of potential rates.

Join us to support patient access and continuity of care in this impactful role



Medix is acting as an Employment Business in relation to this vacancy.

Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r
\r
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

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