Insurance Reimbursement Specialist

1 week ago

Tempe, United States Birdi, Inc. Full time

**Job Title: Insurance Reimbursement Specialist Department: Specialty**

**Reports to: Supervisory Specialty Ops Effective Date: January 2024**

**Job Summary**:
**Duties/Responsibilities**:

- Assists Providers with the facilitation of the Prior Authorization process.
- Leads Benefit Investigations regarding claim submissions through research and outbound calling to Patient, Providers, and Insurance Companies.
- Provides research on funding programs and assists patients with obtaining affordable care on their medications.
- Performs a variety of operational tasks across various systems for a moderately complex-to
- complex process or functions.
- Resolve issues that require prescription entry, correction, and/or replacement due to a reported quality, shipping, and/or claim submission concern.
- Performs other related duties as assigned.

**Required Skills/Abilities**:

- Proficient with Microsoft Office Suite or related software.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with a proven ability to meet deadlines, prioritize work and work independently.
- Strong analytical and problem-solving skills.
- Ability to function well in a high-paced and at times stressful environment.

**Education and Experience**:

- High School Diploma required, Undergraduate degree desired or equivalent work experience.
- At least 2+ years in Pharmacy setting. Prior experience in Retail, Mail Order of Specialty Pharmacy, PBM, pharmaceutical or managed health care industry preferred.
- Current Pharmacy Technician with National Certification and state licensing required.

**Physical Requirements**:

- Prolonged periods of sitting, standing, walking, and working on a computer.
- Ability to bend, reach, stoop, kneel.
- Must be able to lift up to 15 pounds at times.

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