Verification of Benefits Specialist

The Fountain Group is a national staffing firm and we are currently seeking a Verification of Benefits Specialist for a prominent client of ours. This position is in Lake Mary, FL 32746. Details for the position are as follows:Verification Of Benefits Specialist📍 Lake Mary, FL - 100% Onsite💲 Pay Rate: $20-$21/hourPosition OverviewWe are seeking a Verification of Benefits Specialist to support a healthcare operations team focused on insurance verification, authorization processing, and benefits coordination.This is NOT a traditional customer service role. The primary focus is verification of insurance benefits, prior authorizations, appeals, and ensuring accurate patient coverage information for medical services.The ideal candidate will have prior experience with insurance benefits verification, prior authorizations, managed care, or medical collections, and be comfortable working in a fast-paced, detail-oriented environment with strict turnaround expectations.Key ResponsibilitiesContact insurance carriers to verify patient insurance benefits and eligibility for medical servicesInitiate and manage prior authorization requests, PCP referrals, and letters of agreementFollow up with insurance companies to obtain authorization determinations and status updatesFile and track appeals for denied coverage when necessaryMaintain accurate documentation in internal systems related to:benefit verificationauthorizationsdenialsappealscoordination of benefitspayer communicationsPartner with internal teams to gather required documentation and resolve benefit-related issuesCommunicate patient financial responsibility estimates, authorization status updates, and copay information when applicableApply payer guidelines, company procedures, and managed care requirements to ensure accurate case processingReview and respond to incoming insurance correspondence and supporting documentationMeet productivity and quality expectations in a deadline-driven environmentRequired QualificationsHigh school diploma or GED requiredMinimum 1 year of recent experience in one or more of the following:insurance benefits verificationprior authorizationsmedical collectionsmanaged care contractingStrong understanding of medical insurance verification workflowsExperience working with insurance carriers regarding authorizations, eligibility, and coverage determinationExcellent written and verbal communication skillsStrong attention to detail and documentation accuracyAbility to work effectively under pressure while managing deadlines and case volumeAbility to work independently with minimal supervisionStrong computer proficiency, including Microsoft OfficePreferred Qualifications2+ years of relevant healthcare reimbursement or benefits verification experienceKnowledge of Medicare rules and regulationsUnderstanding of managed care plans, authorizations, and benefit structuresExperience with medical fee schedules, insurance contracting, or reimbursement workflowsAdvanced Excel skillsAssociate degree preferredPhysical RequirementsAbility to sit and work at a computer workstation for extended periodsBy applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at Privacy Policy