Insurance Benefits Coordinator
2 weeks ago
Key Responsibilities
- Engage directly with Medical Insurance Providers and Pharmacy Benefit Administrators to ascertain and document available coverage options for both retail and specialty medications. Uphold exemplary customer service standards in alignment with federal and state regulations.
Your Role Includes:
- Initiating outbound communications to Insurance Providers and Pharmacy Benefit Administrators to confirm patient insurance coverage and explore available Medical and Pharmacy benefits.
- Relay case specifics to relevant internal or external stakeholders once benefit verification is finalized.
- Recognize any coverage limitations imposed by payers and identify potential pathways for expedited access to therapy.
- Demonstrate the ability to contribute effectively both independently and within small teams.
- Consistently achieve production targets and meet deadlines.
- Precisely document payer Prior Authorization and Appeals procedures.
- Engage in special projects and undertake additional responsibilities as necessary.
- Maintain a comprehensive repository of payer or brand-specific coverage information.
- Participate in training sessions and initiatives aimed at process enhancement.
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