HIRING! - Benefits Verification Specialist (JM2026)

Job Description Job Title: Verification of Benefits SpecialistLocation: Plano, TX (onsite)Contract Duration: Contract until 01/08/2027Working hours: 8:00 AM - 5:00 PMTotal hours: 40WHAT YOU'LL DO:Assist with multiple levels of appeal in the event of initial coverage denial.Forward authorized confirmation for procedure to designated patient provider. In addition, this position will provide in-servicing to new patient providers surrounding the pre-authorization process.Responsible for managing multiple cases simultaneously within specific time framesFollow all policies and procedures related to performing the job role adhering to all data use, storage and privacy policies as outlined by AbbottVerify benefits, complete authorization requests promptlyTimely follow up for requested authorizationsFor each procedure, audit required clinical documents for completeness and accuracyObtain authorization for the facility, equipment and physician to perform various procedures from the insurance carrierWork with key provider contacts to obtain required clinical information for authorizationsWork with respective carrier's utilization review department to obtain appropriate authorizationsWork within established guidelines when necessary to process appeal for denied requestsTrain patients and their designated providers on pre-authorization processes and requirements, in person or by phoneWork individually and in a team environment to educate assigned Field Territory Managers and Clinical SpecialistsEDUCATION AND EXPERIENCE YOU'LL BRING:RequiredAssociate degree in Nursing/Home Health (LVN/LPN) or related field required.Minimum of 2 plus yrs experience in a utilization (medical approval) environment or similar work experiencePreferredKnowledge of private insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review.Experience in medical device or DME Billing a plusProficient with Microsoft Office (Word & Excel specifically)Medical billing software experience a plusKnowledge of current CPT codes and familiarity with ICD-10CM (diagnosis coding)Ability to accurately meet required time frames/deadlinesAbility to work as a team player and share workloads with other team membersExcellent verbal and written communication skillsAbility to train/present concepts to othersCompany Description TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal.We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients' own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. Company Description TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients' own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness.