Insurance Verification Coordinator II
Insurance Verification Coordinator II page is loaded## Insurance Verification Coordinator IIlocations: PA - Remote: CarepathRx Specialty Pharmacy & Infusion Solutions Locationstime type: Full timeposted on: Posted 4 Days Agojob requisition id: R-107760CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:
Manage the daily functions of the Insurance Verification area including verification of insurance coverage, re-verifying coverage for existing patients, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Generate price/coverage quotes.
Responsibilities
* Work effectively and maintain expected productivity.* Enter and update patient demographics into the computer system.* Verify insurance coverage, calculate costs and document details in the patient profile.* Generate a financial responsibility letter.* Review benefits with patient via phone.* Track, monitor and secure necessary insurance documents.* Obtain prior authorizations as required.* Coordinate completion of Financial Assistance forms, payment agreements and waivers.* Assist with training new employees.* Organize and prioritize tasks to be completed.* Create new hospital and physician codes as needed.* Give high priority to client satisfaction and customer needs.* Cooperate with other staff members when planning and organizing reimbursement activities.* Demonstrates the ability to work effectively and maintain expected productivity.* Meets quality standards, shows pride in performance, and demonstrates reliability and follow-through on all assigned tasks.* Assist with researching reimbursement issues.* Performs in accordance with system-wide competencies/behaviors.* Performs other duties as assigned.
Skills & Abilities
* Excellent written and verbal communication* Organization* Time Management* Professional
Requirements
* HS diploma or GED required.* 1+ year of insurance verification, prior authorization or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required.* Knowledge of medical terminology required.* Knowledge of payer websites, eligibility, coordination of benefits preferred.* Knowledge of pharmacy vs medical payers and authorization preferred.* Knowledge of plan formularies and authorization requirements preferred.* Proficient computer skills and Microsoft Office Products required.* Excellent math skills.*CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire
.
*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. Applicants encouraged to confidentially self-identify when applying.Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.**We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top!CarepathRx offers full-time employees a comprehensive benefits package that includes:* Paid Company Holidays* Paid Time Off and Volunteer Time Off* Medical, Dental and Vision Benefits for you and your family* 401(k) with Company Match* Company-paid Life Insurance and Disability Benefits* Supplemental Insurance packages #J-18808-Ljbffr Salary: USD 43200 - 72000 per year Experience: 3 years required