Insurance Verification Coordinator
3 weeks ago
CarepathRx is a leading provider of pharmacy services, transforming hospital pharmacies into revenue generators through innovative technology and market-leading services. We are seeking a skilled Insurance Verification Coordinator to join our team.
- As an Insurance Verification Coordinator, you will be responsible for managing the daily functions of the Insurance Verification area, including verification of insurance coverage, re-verifying coverage for existing patients, and securing reimbursement-related paperwork.
- You will generate price/coverage quotes, work effectively to maintain expected productivity, and enter and update patient demographics into the computer system.
- Additional responsibilities include verifying insurance coverage, calculating costs, and documenting details in the patient profile, as well as medical vs pharmacy benefit determination.
- You will also generate financial responsibility letters, review benefits with patients via phone, identify copay/foundation assistance and/or donated drug, and track, monitor, and secure necessary insurance documents.
- Other duties include obtaining prior authorizations as required, coordinating completion of Financial Assistance forms, payment agreements, and waivers, and assisting with training new employees.
- You will organize and prioritize tasks to be completed, create new hospital and physician codes as needed, and give high priority to client satisfaction and customer needs.
- Cooperation with other staff members is essential when planning and organizing reimbursement activities.
- You will also demonstrate the ability to work effectively and maintain expected productivity, meet quality standards, show pride in performance, and demonstrate reliability and follow-through on all assigned tasks.
- Additional responsibilities include assisting with researching reimbursement issues and performing in accordance with system-wide competencies/behaviors.
Requirements
- A high school diploma or GED is required, and 2+ years of insurance verification, prior authorization, or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting is necessary.
- Knowledge of medical terminology, payer websites, eligibility, coordination of benefits, pharmacy vs medical payers, and authorization is required.
- Proficient computer skills and Microsoft Office Products are necessary, as well as excellent math skills.
- Ability to work Friday, Saturday, Sunday, and Monday from 8am to 6:30pm is also required.
Equal Employment Opportunity
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment.
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