11 days ago
Third Party Liability Verification Specialist
AmeriHealth Caritas
Hybrid
Full Time
$60,000
Hybrid
Job Overview
Job TitleThird Party Liability Verification Specialist
Job TypeFull Time
CategoryCommerce
Experience5 Years
DegreeMaster
Offered Salary$60,000
LocationHybrid
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Job Description
Third Party Liability Verification Specialist
Role Overview: The Third Party Liability (TPL) Specialist plays a critical role in ensuring AmeriHealth Caritas remains the payer of last resort by accurately identifying, validating, and maintaining plan member TPL information across all lines of business.
Work Arrangements
This role is fully remote, meaning the Associate can be located anywhere in the United States.
Responsibilities
- Investigate, verify, and update Plan Member TPL information for all Lines of Business.
- Communicate findings to state agencies, vendors, and internal and external departments as required.
- Review state and vendor disposition reports to determine when manual entry or data updates are necessary.
- Accurately navigate, document, and maintain information within the healthcare system.
- Research Plan Members’ other insurance coverage using online resources and direct outreach to insurance carriers.
- Ensure data accuracy and compliance with payer-of-last-resort requirements.
Education & Experience
- High School Diploma or GED required; Associate’s Degree preferred.
- 1 to 3 years of experience with data entry, insurance verification, or healthcare operations is strongly preferred.
Skills & Abilities
- Strong data entry and documentation skills with a high level of accuracy.
- Proficiency in Microsoft Office applications.
- Ability to effectively investigate and analyze insurance coverage information.
- Strong communication skills for interacting with insurers, vendors, and internal stakeholders.
- Detail-oriented with the ability to manage and interpret reports and system data efficiently.
Key skills/competency
- Data Entry
- Insurance Verification
- Healthcare Operations
- Compliance
- Documentation
- Investigation
- Communication Skills
- Reporting
- Data Analysis
- Microsoft Office
How to Get Hired at AmeriHealth Caritas
- Research AmeriHealth Caritas's culture: Study their mission, values, recent news, and employee testimonials on LinkedIn and Glassdoor.
- Tailor your resume: Highlight experience in TPL, data entry, and healthcare operations using keywords from the Third Party Liability Verification Specialist job description.
- Showcase compliance knowledge: Emphasize your understanding of payer-of-last-resort requirements and data accuracy in healthcare.
- Prepare for communication questions: Practice discussing how you handle sensitive information and coordinate with state agencies and vendors.
- Demonstrate analytical skills: Be ready to explain how you investigate insurance coverage and interpret disposition reports effectively.
Frequently Asked Questions
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01What does the Third Party Liability Verification Specialist role at AmeriHealth Caritas primarily entail?
02What kind of experience is AmeriHealth Caritas looking for in a Third Party Liability Verification Specialist?
03Is the Third Party Liability Verification Specialist position at AmeriHealth Caritas a remote opportunity?
04How important are data accuracy and compliance for this Third Party Liability Verification Specialist role?
05What specific skills are essential for success as a Third Party Liability Verification Specialist at AmeriHealth Caritas?
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