Funding and Benefits Specialist

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: www.lingraphica.com!

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.