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Eligibility and Benefits Specialist - Philippines

Forta

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Accounting & Finance

Philippines

Posted on Tuesday, April 2, 2024

FORTA’S MISSION:

Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children [CDC, 2023] is diagnosed to be on the autism spectrum. Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier access to families.

Forta is not only providing ABA services to our clients, but we’re also improving the future of the ABA experience for families by creating software and predictive algorithms that elevate clinicians to work smarter by surfacing the latest and most relevant case data. We are working diligently to continuously improve the patient journey and deliver personalized care by applying smart technology and investing in the growth of our world-class team.

Outcomes:

Gather accurate information - determine the eligibility and benefits from a client’s insurance carrier
Determine billable status and estimated patient responsibility associated with ABA services
Reliable reporting - correct, factual information without errors will be put into a template
Understandable data - if nuanced explanation is needed, they are clearly explained in a way the team and family can understand
Quick turnaround (24hrs or less) from receiving a request delivering the completed report
Send and process Benefits Acknowledgements once benefits have been gathered - follow-up with parents on unsigned
Benefits Acknowledgements as neededAssist with projects and admin tasks, as needed

Competencies:

Understanding of insurance billing systems with the ability to quickly learn the lexicon of Forta’s industry
Experience in medical billing
Excellent in navigating complex details
Excellent written and verbal communication skills
Fluent in English with the ability to clearly enunciate information to navigate automated phone system menus
Able to ask questions in clear ways to gather concrete answers
Has fortitude to wait on hold for extended periods of time and be transferred via multiple voice-activated searches and still be professional when call is answered
Quickly gather notes from calls
Understanding and respect for patient privacy and security (HIPAA protocols)
Maintain documentation integrity and quality data hygiene
Knowledge and experience with Google Suite, Microsoft Office, and CRM systems
Maintain an entrepreneurial and growth mindset

Requirements:

Bachelor's Degree or equivalent work experience
Human Services, Social Work, Public Health
Reliable personal computer or laptop with minimum specifications5 - 10 Gen with at least 8GB DDR4 RAM or equivalent
Reliable internet connection with minimum 50 mbps subscription speed and back-up ISP
Availability to work an 8 hour shift between 9 AM to 5 PM EST, CST, or PST

Apply Today!

We are looking for you! A driven, innovative, client-focused individual to join our team as we innovate the care and tools available to neuro-diverse families. If this position sounds like the opportunity you have been searching for, we want to speak with you!

We look forward to working with you!

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Forta is a Drug-Free Workplace/ EO employer – M/F/Veteran/Disability.