Senior Benefits Verification Associate

This is a Fully Remote Job About Our Client: This organization operates in the home health care industry, providing accredited and licensed services that comply with all state and local mandates. It addresses the critical need for reliable and compassionate home health care, ensuring regulatory compliance and quality patient support over a significant operational history. About the Opportunity: The SENIOR BENEFITS VERIFICATION ASSOCIATE is responsible for confirming insurance eligibility and home care benefits to support the revenue cycle and service delivery teams. This role serves as a key liaison between internal offices, insurance carriers, and billing functions, ensuring accurate and timely communication of insurance information. The position also involves mentoring team members and contributing to the efficiency and accuracy of benefits verification processes. Responsibilities: Verify eligibility and care benefit details including deductibles, co-pays, policy limits, exclusions, and billing information for designated referrals. Communicate insurance benefit adequacy and eligibility status to service offices and coordinators. Perform thorough and timely eligibility checks. Enter plan information for referrals not requiring benefit confirmation. Reconfirm benefits for active clients on a scheduled or ad hoc basis. Collect and submit completed payor forms to appropriate departments or insurers. Determine credentialing and contracting status of service offices with insurers. Document all benefit and billing information accurately in designated systems. Correct insurance representatives on misquoted benefits and assist in obtaining accurate data. Post benefit confirmations to service offices. Update collections on billing information changes and respond to billing inquiries. Conduct insurance verifications to detect changes in benefit eligibility. Obtain eligibility documentation from payors or third-party systems for billing purposes. Assist offices in communicating benefit information to clients when necessary. Requirements: Bachelor's degree. Two to four years of relevant experience with increasing responsibilities. Minimum of one year of benefits experience. Experience in healthcare or home care preferred. Proficient knowledge of insurance benefits and contracts. Strong interpersonal and relationship-building skills. Ability to work independently with motivation and flexibility. Excellent customer service skills and commitment to quality. Proven track record of meeting or exceeding goals. Ability to multitask and manage competing priorities. Analytical skills with good judgment and problem-solving abilities. Experience with Managed Medicare and Managed Medicaid. Excellent telephone and customer service skills. Professional demeanor and presentation. Strong PC skills. Alignment with core values of compassion, excellence, and reliability. Pay Range and Compensation Package: Base pay: $24.00 to $27.00 per hour depending on qualifications. Benefits & Perks: No direct benefits specified in the original job description. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note: TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.