Funding Verification Specialist - Remote

Purpose: The Funding Verification Specialist is responsible for verifying insurance benefits, determining appropriate funding and payment options, and assessing case/deal viability to support successful device trials and procurement so that appropriate candidates may trial and procure a Lingraphica device. Essential Duties & Responsibilities: - Acquire insurance benefit coverage via phone or online portal - Interpret benefit coverage information to determine anticipated costs for clients - Use discernment and judgment to evaluate the accuracy, completeness, and reliability of insurance benefit information and identify discrepancies or gaps requiring additional verification - Assess case viability by evaluating expected reimbursement, payor requirements, funding criteria, and the likelihood of successful reimbursement prior to initiating a trial. - Determine 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 assist in resolving discrepancies. - Review benefits for accuracy prior to sale - Clearly communicate funding determinations, potential barriers, and recommended next steps clearly to internal teams and, when appropriate, patients and care partners. - Maintain accurate, complete, and compliant documentation of insurance verification, funding determinations, patient records, and related communications in accordance with HIPAA, Medicare, and organizational requirements. - Proactively communicate with team members regarding identified potential issues and concerns - Maintain patient records according to HIPAA and Medicare guidelines - Track and trend issues to aid in the resolution and prevention of repeat problems - Complete all administrative functions, such as data entry, associated with sales activities in a timely manner and in accordance with established processes - Identify and escalate priority issues and proactively follow up on tasks - Perform other duties and special projects as assigned Skills and Competencies: - Knowledge of insurance plans, funding sources, and reimbursement processes related to Durable Medical Equipment (DME). - Strong data entry, documentation, and organizational skills with a high level of accuracy and attention to detail. - Methodical approach to gathering information, conducting research, and resolving issues effectively. - Effective verbal and written communication skills with a professional, customer-focused approach. - Compassion for individuals with disabilities and the ability to communicate effectively with clients who have speech impairments. - Ability to build rapport and maintain professionalism when interacting with clients, caregivers, providers, and internal stakeholders. - Strong critical thinking and problem-solving skills, with the ability to assess risk and make informed decisions. - Ability to exercise sound independent judgment within established guidelines and appropriately escalate complex or high-risk situations. - Ability to identify alternative solutions, evaluate options, and recommend appropriate courses of action. - Demonstrates adaptability in response to changing priorities, processes, and business needs. - Exhibits innovative thinking and a willingness to explore new approaches to improve outcomes and efficiency. - Open to giving and receiving feedback, with a commitment to continuous learning and professional growth. - Ability to manage multiple priorities and maintain consistent performance in a fast-paced, process-driven environment. - Strong attention to detail while balancing productivity, quality, and timeliness. - Maintains a sense of urgency and takes ownership of responsibilities through to resolution. - Proactive, solutions-oriented mindset with the ability to anticipate challenges and address them effectively. - Demonstrates accou