Funding and Benefits Specialist
- Full-time
Company Description
Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communccation journey.
Job Description
Purpose: The Funding and Benefits Specialist is responsible for assessing and determining payment options so that appropriate candidates may trial and procure a Lingraphica device.
Essential Duties & Responsibilities:
- Acquires insurance benefit coverage via phone or online portal
- Interprets benefit coverage information to determine anticipated costs for clients
- Uses discernment and judgment to verify the quality of the information provided by insurance companies
- Determines device trial funding options based on the patient’s insurance coverage
- Reviews benefits and documentation for funding and reimbursement accuracy prior to sale
- Clearly communicates funding options in our CRM and to other Lingraphica staff
- Maintains accurate and complete documentation of all inquiries
- Proactively communicates with team members regarding identified potential issues and concerns
- Maintains patient records according to HIPAA and Medicare guidelines
- Tracks and trends issues to aid the team in resolution and prevention of repeat problems
- Completes all administrative functions, such as data entry, associated with sales activities in a timely manner
- Identifies and escalates priority issues and proactively follows up on tasks
- Performs other duties and special projects as assigned
Qualifications
Skills, Competencies, and Experience:
- Knowledge of insurance and funding sources for DME
- Knowledge of common communication disorders and their etiologies
- Efficient data entry/typing skills
- Effective verbal and written communication skills
- Customer service skills and professionalism
- Attention to detail, ability to keep track of many possible circumstances and outcomes
- Steady and consistent performance of routine activities
- Ability to gather information and assess risk before making decisions
- Ability to use a deliberate, methodical approach to solving problems
- Strong critical thinking and problem-solving skills
- Ability to effectively handle multiple and shifting priorities
- Ability to take on new challenges with an open and curious mindset
- Ability to resolve issues in a professional and timely manner
- Possess a sense of urgency and willingness to go above and beyond to complete tasks
- Compassion for clients with disabilities and investment in providing them the best results
- Comfort/willingness to communicate with clients with speech disabilities
Education and Experience
- High School Diploma or GED, required
- Associates or Bachelor's Degree or equivalent combination of education and experience, preferred
- 2 years healthcare or insurance related experience, preferred
- 2 years customer service and/or administrative experience, preferred
- Bilingual (English/Spanish), preferred
Additional Information
Travel Requirements:
Travel to Lingraphica’s home office and to cities within the continental United States for company related meetings and conferences required two times per year.
Work Environment & Physical Demands:
Incumbent works from home and is expected to maintain a safe, productive work environment with secure internet access. Must be able to operate a computer with or without a reasonable accommodation.
Accommodations:
To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or ability abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
To learn more about Lingraphica, visit: www.lingraphica.com!
This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.