Benefits Investigation Rep - Remote - $20.00 - Sept Start (154291)
Company: A-Line Staffing Solutions LLC
Location: Atlanta
Posted on: June 27, 2025
|
|
|
Job Description:
JOB TITLE: Benefits Investigation Rep PAY RATE: $20.00/hour
LOCATION: 100% Remote Training and Work Schedule: Mandatory virtual
training: Monday–Friday, 8:00 AM–5:00 PM CST Full-time schedule
post-training: Monday–Friday, 8:00 AM–5:00 PM CST 100% attendance
during training is required; no pre-planned appointments or time
off accepted during this period. Position Overview: Manage the
entire care process with a sense of urgency from benefit
investigation and verification to medication delivery, ensuring an
exceptional patient experience Conduct benefit verifications and
collaborate with various healthcare providers, including
physicians, specialty pharmacies, and insurance companies, to
ensure seamless coordination of patient care and timely access to
necessary services Assist in obtaining insurance, prior
authorization, and appeal requirements and outcomes Help patients
understand their insurance plan coverage, including out-of-pocket
costs, and provide guidance on the appeals process if needed
Resolve patient's questions and any representative for the
patient’s concerns regarding status of their request for assistance
Demonstrate expertise in payer landscapes and insurance processes.
Remain knowledgeable about long and short-range changes in the
reimbursement environment including Medicare, Medicaid, Managed
Care, and Commercial medical and pharmacy plans while planning for
various scenarios that may impact prescribed products Process
enrollments via fax, phone, and electronically as needed Scrutinize
forms and supporting documentation thoroughly for any missing
information or new information to be added to the database Support
inbound phone quue from patients, healthcare provider offices, SPs,
and customers, striving for one-call resolution Qualifications:
High School Diploma, GED, or equivalent work experience 1–3 years
of relevant experience preferred Prior customer service or call
center experience is a plus Familiarity with Medicare, Medicaid,
and commercial payer practices preferred Proficient with standard
and proprietary software systems Ability to multitask and maintain
productivity in a fast-paced environment Expectations: Apply job
knowledge and company guidelines to complete routine tasks Handle
standard work independently with general supervision Consult peers
or supervisors for complex or unusual issues Maintain a high level
of professionalism, accuracy, and service quality Remote Work
Requirements: Full-time, remote position Must have a quiet,
private, and distraction-free environment Reliable high-speed
internet is required (you must provide): Download speed: 15 Mbps
minimum Upload speed: 5 Mbps minimum Ping rate: Max 30ms
Connection: Hardwired to router (WiFi, satellite, cellular not
acceptable) Surge protector: Required for company-issued equipment
Computer, technology, and necessary equipment will be provided. If
you are interested, please contact Chin Yang at A-Line Staffing.
586-323-4194 | ?? cyang@alinestaffing.com
Keywords: A-Line Staffing Solutions LLC, Johns Creek , Benefits Investigation Rep - Remote - $20.00 - Sept Start (154291), Customer Service & Call Center , Atlanta, Georgia
