Pharmacy Tech Liaison Customer Service

2 weeks ago


Newark, United States Bergen Pharmacy Full time

Job description

Bergen Pharmacy is looking for a PHARMACY LIAISON CUSTOMER SERVICE CALL CENTER REPRESENTATIVE Monday-Friday 9am-5pm who has experience in verifying eligibility, obtaining insurance benefits, and handling customer service calls.

Prior experience as a Pharmacy Liaison or Customer Service Pharmacy Tech preferred.
- Exceptional customer relations skills required
- Knowledge of online insurance eligibility systems.
- Familiarity with Medical Terminology.
- Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity.
- Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.
- Successfully works via electronic/telephonic and/or fax communications.
- Responsible for investigation of pre-certification, authorization, and referral requirements for services.
- Coordinates and supplies information to the physician including medical information and/or letter of medical necessity for determination of benefits.
- Communicates with patients, clinical partners, financial counselors, and others as necessary to facilitate authorization process.
- Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.
- Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner.
- Follows departmental policies and procedures when necessary authorization is not obtained.
- Answers provider, staff, and patient questions surrounding insurance authorization requirements.

Pay: From $25.00 per hour

Schedule:

- 8 hour shift
- Monday to Friday

Ability to Relocate:

- Newark, NJ 07108: Relocate before starting work (required)

Work Location: In person



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