Pharmacy Benefit Verification Specialist
4 weeks ago
At Onco360, we are seeking a highly skilled Pharmacy Benefit Verification Specialist to join our team. As a Pharmacy Benefit Verification Specialist, you will play a critical role in ensuring accurate patient insurance information and benefit verification for our pharmacy operations.
Key Responsibilities:
- Investigate, review, and load accurate patient insurances, including medical and pharmacy coverage.
- Assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications.
- Investigate/identify authorization requirements needed to obtain medication coverage.
- Enroll eligible patients in copay card assistance programs.
- Ensure accurate benefit documentation is made for all prescription orders.
Requirements:
- High School Diploma or GED.
- Previous experience in pharmacy, medical billing, or benefits verification.
- Knowledge of pharmacy insurance and benefit verification, PBM and Medical contracts, Medicare, Medicaid, and commercial insurance.
- Pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, and pharmacy or healthcare-related knowledge.
What We Offer:
- Starting salary at $20/HR and up.
- Great benefits including medical, dental, vision, 401k with a match, paid time off, and paid holidays.
- Tuition reimbursement and company-paid benefits, including life, short, and long-term disability.
How to Apply:
Interested candidates should submit their application with a cover letter and resume to [insert contact information].
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