Insurance Verification Specialist - 234665

Job Title: Insurance Verification Specialist - Pharmacy/Medications FocusLocation: Pittsburgh, PAJob Type: Full-TimeHours: Monday-Friday with one Saturday a monthPay: Pending relevant years of experience - $18-20/hBackgrounds- open to Pharmacy Technician background or strong prior authorization experience Job Overview: As an Insurance Verification Specialist, you will play a key role in the pre-authorization process, verifying insurance coverage, and assisting patients in accessing their medications. You will work closely with pharmacies, healthcare providers, and insurance companies to navigate insurance requirements, with a strong focus on prior authorizations and medication-related processes.Key Responsibilities:Verify insurance eligibility and coverage for prescribed medications.Obtain prior authorizations from insurance companies, ensuring timely and accurate completion.Review and interpret insurance policies to determine benefit coverage for medications.Communicate with healthcare providers, pharmacies, and insurance companies to resolve any issues with prior authorizations or coverage.Maintain detailed and accurate records of patient information, insurance status, and authorizations.Stay up-to-date with insurance regulations and changes in prior authorization processes.Provide excellent customer service to patients, addressing any questions or concerns regarding their insurance and medication coverage.Qualifications:Minimum of 2 years of experience in insurance verification or prior authorization in a healthcare setting, preferably in a pharmacy or medication-focused environment.Strong knowledge of medical and pharmacy insurance policies, procedures, and prior authorization processes.Experience working with insurance companies, specifically handling medication-related claims and authorizations.Exceptional communication and organizational skills with the ability to manage multiple tasks simultaneously.Proficient in healthcare-related software and systems for tracking authorizations and patient information.Detail-oriented, with a strong commitment to accuracy and compliance.Preferred Qualifications:Previous experience working in a pharmacy or handling prior authorizations for medications.Knowledge of Medicaid, Medicare, and commercial insurance plans.Benefits:Competitive salary and comprehensive benefits packageHealth, dental, and vision insurance401(k) with company matchCareer development and advancement opportunities

Created: 2024-11-17