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What is the difference between Ao Va Benefit Specialist vs Health Insurance Benefits Coordinator?

AspectAo Va Benefit SpecialistHealth Insurance Benefits Coordinator
CredentialsTypically requires knowledge of VA benefits, certifications varyOften requires health insurance or benefits administration certifications
Work EnvironmentGovernment agencies, veteran service organizationsHealthcare providers, insurance companies, corporate HR departments
Employer & IndustryVeteran services, governmentHealthcare, insurance, corporate HR
Search & Comparison IntentUnderstanding VA benefits, veteran support rolesBenefits administration, health insurance roles

The Ao Va Benefit Specialist primarily focuses on assisting veterans with VA benefits, often working within government or veteran service organizations. In contrast, a Health Insurance Benefits Coordinator handles health insurance plans and benefits for employees in healthcare or corporate settings. While both roles involve benefits administration, their target populations and industries differ significantly.

What are popular job titles related to Ao Va Benefit Specialist jobs in Georgia? For Ao Va Benefit Specialist jobs in Georgia, the most frequently searched job titles are:
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Ao Va Benefit Specialist jobs near you
VA Auditing Specialist

VA Auditing Specialist

St. Joseph's/Candler

Savannah, GA

$19.28/hr

Full-time

Posted 17 days ago

St. Joseph's/Candler Health System rating

6.4

Company rating: 6.4 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • A VA Auth/Referral and Auditing Specialist is responsible for verifying patient insurance coverage, obtaining necessary prior authorizations for medical services from insurance companies, by reviewing medical records and determining if requested procedures are covered based on policy guidelines, ultimately ensuring timely access to care for patients while managing the financial aspects of their treatment. While auditing for accuracy and validity of all authorizations or referrals for VA and Tricare. The VA Auth/Referral and Auditing Specialist will be overlooking authorizations and referral within departments such as: LCRP, Patient Accounts, Pre-Service and  Registration.
  • Education
    • High School Diploma - Preferred
  • Experience
    • 1-3 Years Insurance experience - Required
    • 2-3 Years Medical background - Preferred
  • License & Certification
    • None Required
  • Core Job Functions
    • Demonstrates responsibility in maintaining patient records in organized and secure manner. Ensures HIPAA regulations are continuously followed.
    • Determines precertification necessity. Communicates and coordinates with insurance companies to maximize reimbursement. Communicates with other departments to eliminate denials from insurance companies.
    • Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
    • Documents within EMR and hospital charting system data on precertification and payer correspondence. Ensures appropriate referral information is taken by the front desk staff to limit denial of services
    • Accurately measures and records the type, frequency, and responsibility for missing or inaccurate authorizations, navigation or any other insurance benefit related issue that causes delays in the patient treatment schedule.

What St. Joseph's/Candler Health System employees say

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