Pharmacy Ins Verific Rep
Found in: Talent US C2 - 1 week ago
This employee is responsible for the verification of customer insurance benefits (Medicare and Secondary Insurance) for potential reimbursement, as well as the creation and maintenance of specified data files.
Job Responsibilities:
Receive verification of benefits for new and existing customersContact insurance companies to verify customer coverage and obtain information concerning extent of benefits and billing requirementsContact center as necessary for information or problemsComplete verification request form deemed necessaryCreate, update, and maintain integrity of payer responsibility and referral sourcesFax verification request form back to appropriate center and/or forward information to team membersRecord all activity specifically relating to account in PAC tickler fileConfirm Medicare Part B benefits with physician offices via telephoneObtain pre-certification from insurance companies for nebulizer compressors as neededEnter information in Pharmacy softwareObtain written insurance verifications via fax as neededAchieve goals set by management and/or department leadsPast performance shows solid evidence of insurance qualifications and guidelinesKnowledge of telephone etiquette, with adequate oral and written communication skillsShows effective multitasking skillsBasic computer skillsPositive and cooperative attitude in working and communicating with individuals at all levels of the organizationKnowledge of Respiratory Health Care is helpfulIn some states, the ability to obtain a Pharmacy Technician License may be required
Education and Experience:
High School Diploma or General Education Degree (GED) requiredOne to three months of related experience and/or training, or equivalent combination of education/experience-
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