Funding Verification Specialist - Remote at Lingraphica

Princeton, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jun, 26

Salary

55000.0

Posted On

30 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Benefit Coverage Interpretation, Business Viability Assessment, Reimbursement Evaluation, Coordination Of Benefits (COB), Data Entry, Organizational Skills, Attention To Detail, Verbal Communication, Written Communication, Critical Thinking, Problem-Solving, Risk Assessment, HIPAA Compliance, Medicare Guidelines, CRM Usage

Industry

Medical Equipment Manufacturing

Description

Company Description Lingraphica is a mission-driven organization that 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 communication journey. Job Description Purpose: The Funding Verification Specialist is responsible for assessing and determining payment options, while also evaluating business viability, 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 Assess business viability of each case by evaluating expected reimbursement, payer requirements, and overall likelihood of successful conversion prior to trial Determines device trial funding options based on the patient’s insurance coverage Recognize and identify potential coordination of benefits (COB) issues and proactively engage with the patient and/or care partner to gather information and resolve discrepancies. Reviews benefits for 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 and in accordance with established processes Identifies and escalates priority issues and proactively follows up on tasks Performs other duties and special projects as assigned Qualifications Skills and Competencies: Knowledge of insurance and funding sources for DME Strong data entry and organizational skills with high attention to detail Effective verbal and written communication skills with a professional, customer-focused approach Ability to manage multiple priorities and maintain consistent performance in a fast-paced, routine-driven environment Strong critical thinking and problem-solving skills, with the ability to assess risk and make informed decisions Methodical and detail-oriented approach to gathering information and resolving issues Sense of urgency with a proactive, solutions-oriented mindset and willingness to go above and beyond Adaptability and willingness to take on new challenges with curiosity and openness to giving and receiving feedback Compassion for individuals with disabilities and comfort communicating with clients with speech impairments Education and Experience High School Diploma or GED, required Associate's degree or equivalent combination of education and experience, preferred 3 years healthcare or insurance related experience, required 3 years customer service and/or administrative experience, preferred Experience with Microsoft Office, TrueSight, Inovalon, or HubSpot, preferred Additional Information Lingraphica and Pay Transparency At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $50,000 to $55,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process. Paid Time Off (sick, personal, and vacation) Paid Company Holidays 401(k) Retirement Plan and Contribution Medical/Dental/Vision benefits with FSA, HSA, & Dependent care options Employer Paid Life Insurance Voluntary benefits such as Short and Long Term Disability, Critical Illness, Hospital Indemnity and AD & D insurance Stipends for health and wellness, home office setup and professional development Paid Family Leave Annual bonus program Annual merit increases Year-Round Flex Friday’s Discounts on travel, entertainment, home/pet/car insurance To learn more about Lingraphica, visit: www.lingraphica.com! To learn more about our benefits offerings, click here! 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.

Responsibilities

The specialist assesses payment options and evaluates business viability to enable candidates to trial and procure speech-generating devices. Essential duties include acquiring and interpreting insurance benefit coverage, resolving coordination of benefits issues, and maintaining accurate documentation.