Funding and Benefits Specialist Job at Lingraphica, Princeton, NJ

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  • Lingraphica
  • Princeton, NJ

Job Description

Job Description

Job Description

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: 

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.

Job Tags

Home office, Shift work,

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