Insurance Verification Coordinator Jobs

Insurance Verification Coordinator – Specialty Pharmacy – Pittsburgh, PA
Summary
The Insurance Verification Coordinator position will support new and existing patients as it relates to verification of active insurance and complete benefit coverage, prior authorization, patient assistance program, financial assistance, and appeals support, as necessary.
SALARY: $18-$23/hour, depending on experience
DUTIES/RESPONSIBILITIES: Investigate and verify insurance coverage for patient medication requests under pharmacy and medical benefit types. Request coverage determinations from payors on patient requests that have prior authorization requirements. Qualify patients for any quick start, bridge, or patient assistance programs as necessary Support patient copay program and other financial assistance needs, as necessary Contact new patients or their caregivers to review service offering of our clinical programs and monthly refill coordination, obtain copay/balance, AOB or other pertinent outstanding information needed to keep on patients record.
QUALIFICATIONS: 3+ years of related healthcare experience in Specialty Pharmacy setting with at least 1 year in Insurance Verification, PA or Reimbursement services Must have pharmacy benefit experience, running test claims, deductible, co-insurance, copay Must have experience performing medical benefit verification, prior authorizations Must have pharmacy experience in orals and injectables ScriptMed CRM experience Ability to work well under pressure in a fast-paced work environment and under tight deadline Ability to work weekdays, including possible Saturdays and extended business hours, as needed
About The Company
Our client is a top ranked specialty pharmacy.